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General NPI Number Information
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NPI Number | 1063411759
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Entity Type | Organization
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Legal Business Name | ESSENT PRMC LP
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 447 5TH ST
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City | HONEY GROVE
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State | TX
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Zip | 75446-1427
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Country | US
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Telephone | 903-378-3252
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Fax | 903-378-3426
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Provider Business Mailing Address
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Address Line | PO BOX 9070
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City | PARIS
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State | TX
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Zip | 75461-9070
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Country | US
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Telephone | 903-737-3257
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Fax | 903-737-3375
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. MICHAEL W BROWDER
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Credential |
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Telephone | 615-312-5103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | TX
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