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General NPI Number Information
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NPI Number | 1588902456
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Entity Type | Organization
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Legal Business Name | LANDMARK EXAMS
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Dates
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Enumeration Date | 01/28/2013
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 5725 W HIGHWAY 290 STE 202
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City | AUSTIN
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State | TX
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Zip | 78735-8722
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Country | US
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Telephone | 512-494-4219
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Fax |
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Provider Business Mailing Address
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Address Line | 5725 W HIGHWAY 290 STE 202
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City | AUSTIN
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State | TX
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Zip | 78735-8722
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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 | DIRECTOR OF OPERATIONS
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Name | LEON STEARNS
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Credential |
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Telephone | 512-970-8490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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