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NPI 1588761407

NPI 1588761407 : SYMPTOM MANAGEMENT CONSULTANTS PA : HUMBLE, TX

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General NPI Number Information
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    NPI Number           |    1588761407
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYMPTOM MANAGEMENT CONSULTANTS PA 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    02/21/2020
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Provider Practice Location Address
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    Address Line         |    107 GRANBERRY ST 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-4547
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    Country              |    US
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    Telephone            |    832-644-6496
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    107 GRANBERRY ST 
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    City                 |    HUMBLE
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    State                |    TX
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    Zip                  |    77338-4547
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    Country              |    US
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    Telephone            |    832-644-6496
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BILLING ADMINISTRATOR
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    Name                 |     JENNIFER  BARNARD 
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    Credential           |    
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    Telephone            |    682-365-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    L1864
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    License Number State |    TX
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