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General NPI Number Information
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NPI Number | 1376078881
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Entity Type | Organization
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Legal Business Name | LITTLE BLACK BAG HOUSE CALLS LLC
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Dates
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Enumeration Date | 04/22/2017
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Last Update Date | 04/22/2017
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Provider Practice Location Address
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Address Line | 901 INDIANA AVE SUITE 635
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City | WICHITA FALLS
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State | TX
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Zip | 76301-6719
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Country | US
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Telephone | 940-217-5589
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Fax |
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Provider Business Mailing Address
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Address Line | 901 INDIANA AVE SUITE 635
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City | WICHITA FALLS
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State | TX
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Zip | 76301-6719
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Country | US
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Telephone | 940-217-5589
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUMMER NAPIER
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Credential | RN
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Telephone | 940-613-1123
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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 |
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License Number State |
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