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General NPI Number Information
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NPI Number | 1487197976
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Entity Type | Organization
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Legal Business Name | GUARDIAN RPM USA
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 6800 WEISKOPF AVE STE 150
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City | MCKINNEY
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State | TX
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Zip | 75070-5242
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Country | US
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Telephone | 888-801-5675
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Fax | 877-922-4348
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Provider Business Mailing Address
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Address Line | 6800 WEISKOPF AVE STE 150
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City | MCKINNEY
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State | TX
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Zip | 75070-5242
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Country | US
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Telephone | 888-801-5675
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Fax | 877-922-4348
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Authorized Official
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Title or Position | CEO
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Name | MR. TIMOTHY RYAN BILBREY
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Credential | MBA
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Telephone | 214-274-4482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 1346696770
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License Number State | TX
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