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General NPI Number Information
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NPI Number | 1346734837
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Entity Type | Organization
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Legal Business Name | TMT MEDICAL MANAGEMENT SOLUTIONS
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 1301 ELLINGTON DR
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City | MESQUITE
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State | TX
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Zip | 75150-4240
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Country | US
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Telephone | 469-245-4216
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 ELLINGTON DR
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City | MESQUITE
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State | TX
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Zip | 75150-4240
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TREOPHIA M FLOWERS
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Credential |
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Telephone | 469-245-4216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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