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General NPI Number Information
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NPI Number | 1710490180
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Entity Type | Organization
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Legal Business Name | C&T MED, LLC
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 7130 BELL ST
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City | AMARILLO
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State | TX
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Zip | 79109-7003
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Country | US
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Telephone | 806-206-1494
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Fax |
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Provider Business Mailing Address
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Address Line | 19410 MOCKINGBIRD RD
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City | CANYON
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State | TX
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Zip | 79015-5848
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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 | OWNER
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Name | CHRISTIAN D SAMES
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Credential |
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Telephone | 806-677-8902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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