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General NPI Number Information
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NPI Number | 1346120946
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Entity Type | Organization
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Legal Business Name | PENMARK PROVIDER SERVICES, INC.
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 7513 HAWK CREST DR
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City | FULSHEAR
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State | TX
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Zip | 77441-2560
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Country | US
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Telephone | 832-612-4292
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Fax | 713-554-0632
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Provider Business Mailing Address
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Address Line | 7513 HAWK CREST DR
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City | FULSHEAR
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State | TX
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Zip | 77441-2560
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Country | US
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Telephone | 832-612-4292
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Fax | 713-554-0632
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Authorized Official
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Title or Position | DIRECTOR
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Name | CRYSTAL ORAMADIKE
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Credential | NP
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Telephone | 832-612-4292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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