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General NPI Number Information
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NPI Number | 1255627121
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Entity Type | Organization
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Legal Business Name | CRESCENT VIEW MEDICAL CLINICS PA
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 2501 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77901-3912
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Country | US
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Telephone | 361-894-8745
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Fax | 361-894-8748
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Provider Business Mailing Address
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Address Line | 2501 N NAVARRO ST
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City | VICTORIA
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State | TX
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Zip | 77901-3912
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Country | US
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Telephone | 361-894-8745
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Fax | 361-894-8748
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | RICHARD H LEGGETT
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Credential | DO
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Telephone | 361-579-1371
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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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