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General NPI Number Information
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NPI Number | 1003275553
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Entity Type | Organization
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Legal Business Name | CHIC LARKIN VENTURES, LLC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 6800 WEST LOOP S 300
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City | BELLAIRE
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State | TX
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Zip | 77401-4528
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Country | US
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Telephone | 713-838-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 4943 HWY 52
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City | FREDERICK
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State | CO
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Zip | 80514
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KELLY LARKIN
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Credential | MD
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Telephone | 713-838-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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