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General NPI Number Information
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NPI Number | 1710492061
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Entity Type | Organization
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Legal Business Name | THHBP MANAGEMENT COMPANY LLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 2801 S MAYHILL RD
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City | DENTON
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State | TX
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Zip | 76208-5910
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Country | US
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Telephone | 855-760-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 S MAYHILL RD
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City | DENTON
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State | TX
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Zip | 76208-5910
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Country | US
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Telephone | 855-760-0600
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | BRYAN Z NICHOLS
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Credential |
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Telephone | 469-814-3506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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