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General NPI Number Information
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NPI Number | 1295352250
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL CONSULTING PLLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 4549 CATCLAW DR
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City | ABILENE
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State | TX
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Zip | 79606-3283
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Country | US
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Telephone | 325-695-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 4549 CATCLAW DR
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City | ABILENE
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State | TX
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Zip | 79606-3283
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Country | US
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Telephone | 325-695-9355
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MORGAN
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Credential | MD
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Telephone | 325-695-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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