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General NPI Number Information
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NPI Number | 1649409731
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Entity Type | Organization
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Legal Business Name | PROLINK BUSINESS HOLDINGS LLC
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 11000 FONDREN RD STE C1
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City | HOUSTON
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State | TX
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Zip | 77096-5526
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Country | US
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Telephone | 713-777-8180
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Fax | 713-777-5252
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Provider Business Mailing Address
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Address Line | 11000 FONDREN RD STE C1
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City | HOUSTON
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State | TX
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Zip | 77096-5526
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Country | US
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Telephone | 713-777-8180
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Fax | 713-777-5252
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SAMUEL FUNSHO FADIPE
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Credential |
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Telephone | 713-777-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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