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General NPI Number Information
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NPI Number | 1417361999
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Entity Type | Organization
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Legal Business Name | CLEARCARE PHYSICIANS, PA
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 2307 CAMDEN DR UNIT C
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City | HOUSTON
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State | TX
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Zip | 77021-2045
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Country | US
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Telephone | 281-210-8751
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 CAMDEN DR UNIT C
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City | HOUSTON
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State | TX
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Zip | 77021-2045
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Country | US
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Telephone | 281-210-8751
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF CLEARCARE PHYSICIANS
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Name | DR. KRISTOFFER SEELBACH
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Credential | M.D.
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Telephone | 281-210-8751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P9953
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License Number State | TX
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