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General NPI Number Information
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NPI Number | 1225764814
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Entity Type | Organization
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Legal Business Name | ECR CLINIC PA
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 24020 HIGHWAY 59 N
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City | KINGWOOD
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State | TX
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Zip | 77339-1536
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Country | US
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Telephone | 346-550-1850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1816
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City | CLEVELAND
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State | TX
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Zip | 77328-1816
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Country | US
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Telephone | 346-550-1850
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MARK M KREIT
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Credential | MD
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Telephone | 346-550-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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