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General NPI Number Information
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NPI Number | 1346739158
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Entity Type | Organization
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Legal Business Name | ABC SOLUTIONS GROUP CORP
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 10333 HARWIN DR STE 530L
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 346-283-8115
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Fax |
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Provider Business Mailing Address
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Address Line | 10333 HARWIN DR STE 530L
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City | HOUSTON
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State | TX
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Zip | 77036-1545
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Country | US
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Telephone | 346-283-8115
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANDRIOLY B GUERRA
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Credential | RN
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Telephone | 346-283-8115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G3884
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License Number State | TX
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