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General NPI Number Information
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NPI Number | 1013249663
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Entity Type | Organization
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Legal Business Name | CROWNE FAMILY CARE INC
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 600 KENRICK DR
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City | HOUSTON
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State | TX
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Zip | 77060-3630
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Country | US
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Telephone | 281-782-6905
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Fax |
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Provider Business Mailing Address
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Address Line | 11152 WESTHEIMER RD # 691
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City | HOUSTON
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State | TX
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Zip | 77042-3208
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Country | US
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Telephone | 281-782-6905
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRUCE EARNEST
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Credential |
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Telephone | 281-782-6905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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