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General NPI Number Information
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NPI Number | 1346349958
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Entity Type | Organization
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Legal Business Name | HOUSECALLS EXPRESS INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 10/28/2012
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Provider Practice Location Address
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Address Line | 1241 SE INDIAN ST SUITE 112
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City | STUART
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State | FL
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Zip | 34997-5675
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Country | US
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Telephone | 772-781-2207
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Fax | 772-781-2602
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Provider Business Mailing Address
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Address Line | 1241 SE INDIAN ST SUITE 112
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City | STUART
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State | FL
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Zip | 34997-5675
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Country | US
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Telephone | 772-781-2207
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Fax | 772-781-2602
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND JEFFREY HULLEY
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Credential | PA-C
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Telephone | 772-781-2207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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