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General NPI Number Information
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NPI Number | 1508261033
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Entity Type | Organization
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Legal Business Name | US MEDDX, INC
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 2950 NORTH LOOP W SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77092-8843
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Country | US
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Telephone | 877-876-3339
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 893
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-0893
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Country | US
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Telephone | 877-876-3339
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFF OLIVA
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Credential |
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Telephone | 877-876-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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