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General NPI Number Information
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NPI Number | 1457775801
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Entity Type | Organization
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Legal Business Name | AMBUCARE
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Dates
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Enumeration Date | 02/05/2014
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Last Update Date | 02/05/2014
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Provider Practice Location Address
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Address Line | 6776 SOUTHWEST FWY SUITE 610
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City | HOUSTON
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State | TX
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Zip | 77074-2107
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Country | US
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Telephone | 832-831-5829
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Fax | 832-831-5431
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Provider Business Mailing Address
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Address Line | 6776 SOUTHWEST FWY SUITE 610
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City | HOUSTON
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State | TX
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Zip | 77074-2107
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Country | US
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Telephone | 832-831-5829
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Fax | 832-831-5431
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | MR. CURTIS NEUGENT
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Credential |
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Telephone | 832-831-5829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F8594
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License Number State | TX
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