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General NPI Number Information
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NPI Number | 1639754799
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Entity Type | Organization
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Legal Business Name | COMMUNITY FIRST ER, LLC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 2752 SUNRISE BLVD
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City | PEARLAND
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State | TX
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Zip | 77584-4400
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Country | US
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Telephone | 346-955-6006
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 EAST BLVD
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City | DEER PARK
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State | TX
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Zip | 77536-1909
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Country | US
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Telephone | 346-954-6007
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Fax | 346-954-6222
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | REBECCA BONNER
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Credential |
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Telephone | 346-954-6007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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