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General NPI Number Information
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NPI Number | 1154065936
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Entity Type | Organization
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Legal Business Name | DOC DOE CONSULTANTS, LLC
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 363 N SAM HOUSTON PKWY E STE 1100
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City | HOUSTON
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State | TX
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Zip | 77060-2413
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Country | US
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Telephone | 832-704-6272
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Fax | 832-553-8031
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Provider Business Mailing Address
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Address Line | 363 N SAM HOUSTON PKWY E STE 1100
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City | HOUSTON
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State | TX
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Zip | 77060-2413
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Country | US
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Telephone | 832-704-6272
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Fax | 832-553-8031
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Authorized Official
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Title or Position | CREDENTIALING OFFICER
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Name | MISS DAISY CERVANTES
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Credential |
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Telephone | 832-704-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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