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General NPI Number Information
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NPI Number | 1548544018
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Entity Type | Organization
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Legal Business Name | MONROE EMERGENCY CARE LLC
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 8535 GULF FWY
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City | HOUSTON
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State | TX
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Zip | 77017-5055
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Country | US
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Telephone | 832-687-9936
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 87667
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City | HOUSTON
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State | TX
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Zip | 77287-7667
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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 | OWNER/ MANAGER
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Name | MR. LLOYD DAVID RANDALL
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Credential |
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Telephone | 832-687-9936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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