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General NPI Number Information
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NPI Number | 1144512906
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Entity Type | Organization
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Legal Business Name | ENZO MEDICAL SERVICES
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 10710 KUYKENDAHL RD
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City | SPRING
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State | TX
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Zip | 77381-2591
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Country | US
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Telephone | 713-208-5073
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Fax |
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Provider Business Mailing Address
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Address Line | 8850 SIX PINES DR STE 270
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City | SHENANDOAH
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State | TX
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Zip | 77380-2683
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Country | US
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Telephone | 713-838-0800
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Fax | 713-838-0887
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Authorized Official
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Title or Position | REVENUE CYCLE SUPERVISOR
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Name | MS. TAMMY T KERCHNER
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Credential |
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Telephone | 713-838-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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