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General NPI Number Information
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NPI Number | 1417355637
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Entity Type | Organization
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Legal Business Name | A TECH ONE, LLC
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 18434 ATASCOCITA MEADOWS DR
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City | HUMBLE
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State | TX
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Zip | 77346-2595
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Country | US
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Telephone | 281-324-5660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1288
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City | CROSBY
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State | TX
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Zip | 77532-1288
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Country | US
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Telephone | 281-324-5660
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Fax | 281-324-5679
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA MCCRILLIS
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Credential |
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Telephone | 281-324-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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