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General NPI Number Information
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NPI Number | 1457898520
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Entity Type | Organization
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Legal Business Name | APMD LLC
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Dates
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Enumeration Date | 01/26/2017
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 110 W I-20 FRONTAGE RD SUITE 130
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City | WEATHERFORD
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State | TX
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Zip | 76086
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Country | US
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Telephone | 817-598-0003
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Fax | 817-598-0020
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Provider Business Mailing Address
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Address Line | 110 W INTERSTATE 20 FRONTAGE RD SUITE 130
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City | WEATHERFORD
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State | TX
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Zip | 76086-6160
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Country | US
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Telephone | 817-598-0003
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Fax | 817-735-8340
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM MALOUF PARSONS
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Credential | M.D.
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Telephone | 817-598-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | Q2599
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | Q2599
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License Number State | TX
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