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General NPI Number Information
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NPI Number | 1447315437
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Entity Type | Organization
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Legal Business Name | USN
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6085 GARNER RD
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City | BEAUMONT
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State | TX
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Zip | 77708-4507
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Country | US
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Telephone | 409-898-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 6085 GARNER RD
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City | BEAUMONT
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State | TX
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Zip | 77708-4507
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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 | INDEPENDENT DUTY CORPSMAN
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Name | FRANK WESTON THOMPSON
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Credential |
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Telephone | 619-519-3056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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