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General NPI Number Information
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NPI Number | 1548144405
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Entity Type | Organization
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Legal Business Name | CLEARICLAIM SOLUTIONS LLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 701 TILLERY ST UNIT 123063
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City | AUSTIN
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State | TX
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Zip | 78702-3738
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Country | US
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Telephone | 409-419-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 29308
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LOUIS ANTHONY MORENO
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Credential |
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Telephone | 409-419-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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