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General NPI Number Information
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NPI Number | 1699342261
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Entity Type | Organization
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Legal Business Name | PRIME HOSPITALIST PARTNERS, LLC
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 17516 US HIGHWAY 59 STE 110
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City | NEW CANEY
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State | TX
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Zip | 77357-8718
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Country | US
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Telephone | 832-478-0200
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Fax | 832-376-7509
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Provider Business Mailing Address
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Address Line | 17516 US HIGHWAY 59 STE 110
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City | NEW CANEY
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State | TX
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Zip | 77357-8718
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Country | US
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Telephone | 832-478-0200
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Fax | 832-376-7509
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Authorized Official
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Title or Position | BILLING
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Name | VANESSA RENEE LARSON
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Credential |
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Telephone | 409-291-1855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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