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General NPI Number Information
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NPI Number | 1114228913
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Entity Type | Organization
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Legal Business Name | CRESYS INC.
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 16123 STONE STABLE LN
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City | CYPRESS
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State | TX
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Zip | 77429-5255
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Country | US
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Telephone | 714-390-5715
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Fax | 512-532-7676
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Provider Business Mailing Address
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Address Line | 6500 CHAMPION GRANDVIEW WAY 7104
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City | AUSTIN
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State | TX
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Zip | 78750-8223
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Country | US
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Telephone | 714-390-5715
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Fax | 512-532-7676
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Authorized Official
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Title or Position | CEO
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Name | MR. ADEWUNMI GEORGE OJO
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Credential |
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Telephone | 714-390-5715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1000536
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License Number State | TX
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