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General NPI Number Information
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NPI Number | 1578106472
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Entity Type | Organization
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Legal Business Name | AFFILIATES PRIME LLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 3100 TIMMONS LN STE 115
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City | HOUSTON
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State | TX
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Zip | 77027-5926
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Country | US
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Telephone | 713-621-2486
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Fax | 713-621-2491
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Provider Business Mailing Address
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Address Line | 3100 TIMMONS LN STE 115
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City | HOUSTON
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State | TX
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Zip | 77027-5926
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Country | US
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Telephone | 713-621-2486
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Fax | 713-621-2491
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | APRIL BARTON
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Credential |
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Telephone | 713-621-2486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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