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General NPI Number Information
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NPI Number | 1548950751
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Entity Type | Organization
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Legal Business Name | MUZIGO, LLC
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 2500 W ILLINOIS AVE # 100
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City | MIDLAND
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State | TX
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Zip | 79701-6384
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Country | US
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Telephone | 432-217-8440
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Fax |
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Provider Business Mailing Address
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Address Line | 1714 PRINCETON AVE
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City | MIDLAND
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State | TX
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Zip | 79701-5763
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Country | US
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Telephone |
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Fax | 432-214-2367
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Authorized Official
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Title or Position | OWNER
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Name | HILARY COSBY
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Credential | RD
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Telephone | 432-217-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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