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General NPI Number Information
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NPI Number | 1013320043
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Entity Type | Organization
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Legal Business Name | TWO CIRCLE, INC
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 4004 MEDICAL PKWY STE 100
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City | GREENVILLE
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State | TX
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Zip | 75401-7854
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Country | US
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Telephone | 817-371-1099
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Fax | 682-841-2943
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Provider Business Mailing Address
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Address Line | PO BOX 211
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City | MANSFIELD
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State | TX
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Zip | 76063-0211
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Country | US
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Telephone | 817-371-1099
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Fax | 682-841-2943
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL THOMAS COURTAWAY JR.
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Credential |
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Telephone | 817-371-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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