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General NPI Number Information
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NPI Number | 1114979127
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Entity Type | Organization
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Legal Business Name | SADLER CLINIC ASSOCIATION
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 690 S. LOOP 336 WEST
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City | CONROE
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State | TX
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Zip | 77304
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Country | US
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Telephone | 936-756-6631
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3219
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City | CONROE
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State | TX
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Zip | 77305-3219
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Country | US
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Telephone | 936-760-7900
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Fax |
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Authorized Official
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Title or Position | MEDICAL STAFF SERVICES MANAGER
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Name | JUDY MCFARLAND
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Credential | CPCS
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Telephone | 936-521-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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