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General NPI Number Information
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NPI Number | 1063411767
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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 | 05/28/2025
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Provider Practice Location Address
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Address Line | 865 DESHONG DR
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City | PARIS
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State | TX
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Zip | 75460-9313
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Country | US
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Telephone | 903-785-4521
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Fax | 903-737-3375
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Provider Business Mailing Address
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Address Line | 865 DESHONG DR
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City | PARIS
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State | TX
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Zip | 75460-9313
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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 | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical 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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | TX
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