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General NPI Number Information
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NPI Number | 1306226055
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Entity Type | Organization
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Legal Business Name | PFORYM BUSINESS SOLUTIONS, INC
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 3008 50TH ST SUITE F
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City | LUBBOCK
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State | TX
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Zip | 79413-4130
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Country | US
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Telephone | 806-784-0506
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6158
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City | LUBBOCK
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State | TX
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Zip | 79493-6158
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Country | US
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Telephone | 806-784-0506
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELODY OGLETREE
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Credential |
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Telephone | 806-784-0506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | H7986
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License Number State | TX
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