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General NPI Number Information
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NPI Number | 1104830694
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Entity Type | Organization
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Legal Business Name | WM SERVICES, LTD
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1140 BUSINESS CENTER DR SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77043-2737
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Country | US
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Telephone | 713-461-2223
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Fax | 713-461-8784
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Provider Business Mailing Address
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Address Line | 1140 BUSINESS CENTER DR SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77043-2737
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Country | US
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Telephone | 713-461-2223
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Fax | 713-461-8784
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLARK D MCKEEVER
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Credential | MD
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Telephone | 713-461-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D5300
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License Number State | TX
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