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General NPI Number Information
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NPI Number | 1295213601
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Entity Type | Organization
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Legal Business Name | AMERICA'S ER SITE 002, LLC
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 13902 SPRING CYPRESS ROAD
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 281-503-8160
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Fax |
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Provider Business Mailing Address
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Address Line | 26203 OAK RIDGE DR STE 200
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1960
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARK FEANNY
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Credential | MD
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Telephone | 832-850-6090
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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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