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General NPI Number Information
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NPI Number | 1508611633
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Entity Type | Organization
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Legal Business Name | PHAUG LLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 30 MAN O WAR LN
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City | FAIRVIEW
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State | TX
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Zip | 75069-1228
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Country | US
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Telephone | 214-244-5844
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MAN O WAR LN
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City | FAIRVIEW
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State | TX
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Zip | 75069-1228
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Country | US
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Telephone | 214-244-5844
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MRS. HARNEET K. GHUMMAN
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Credential |
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Telephone | 214-244-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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