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General NPI Number Information
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NPI Number | 1114742897
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Entity Type | Organization
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Legal Business Name | CLINVAX CLINICAL TRIAL SOLUTIONS
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1331 N GRAND PKWY STE 111
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City | KATY
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State | TX
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Zip | 77493-2711
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Country | US
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Telephone | 833-254-6829
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 SPRING GREEN BLVD STE 120-19
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City | KATY
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State | TX
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Zip | 77494-7462
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Country | US
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Telephone | 833-254-6829
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOHN OJO
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Credential |
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Telephone | 323-667-5546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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