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General NPI Number Information
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NPI Number | 1467797993
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Entity Type | Organization
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Legal Business Name | MEDSPRING OF TEXAS, PA
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 902 W DUNDEE RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-7823
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Country | US
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Telephone | 312-229-0350
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Fax | 512-485-7393
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Provider Business Mailing Address
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Address Line | PO BOX 160247
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City | AUSTIN
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State | TX
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Zip | 78716-0247
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Country | US
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Telephone | 888-980-0505
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Fax | 512-485-7393
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Authorized Official
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Title or Position | CONTRACTING MANAGER
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Name | MISS CHERYL KADERLI
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Credential |
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Telephone | 512-765-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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