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General NPI Number Information
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NPI Number | 1295979177
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Entity Type | Organization
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Legal Business Name | ACCUSCREEN LLC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 2201 COGGIN AVE
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City | BROWNWOOD
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State | TX
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Zip | 76801-4734
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Country | US
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Telephone | 325-646-7828
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Fax | 325-646-7888
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Provider Business Mailing Address
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Address Line | 2201 COGGIN AVE
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City | BROWNWOOD
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State | TX
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Zip | 76801-4734
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Country | US
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Telephone | 325-646-7828
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Fax | 325-646-7888
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Authorized Official
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Title or Position | FACILITY MANAGER
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Name | MR. MATTHEW HINMAN
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Credential |
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Telephone | 325-646-7828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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