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General NPI Number Information
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NPI Number | 1205754728
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Entity Type | Organization
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Legal Business Name | CLEAR TRACE SOLUTIONS LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 25700 I 45 N STE 4200
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City | THE WOODLAND
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State | TX
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Zip | 77386
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Country | US
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Telephone | 281-824-7207
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Fax | 281-824-7212
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Provider Business Mailing Address
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Address Line | 25700 I 45 N STE 4200
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City | THE WOODLAND
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State | TX
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Zip | 77386
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Country | US
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Telephone | 281-824-7207
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Fax | 281-824-7212
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Authorized Official
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Title or Position | AUTHORIZED PERSON
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Name | SHANNA DANGERFIELD-ELSE
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Credential |
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Telephone | 281-307-2765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State |
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