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General NPI Number Information
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NPI Number | 1750527370
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Entity Type | Organization
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Legal Business Name | IMAR ENTERPRISES INC
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 4319 CANADIAN RIVER DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-5401
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Country | US
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Telephone | 281-265-8967
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Fax | 281-265-7032
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Provider Business Mailing Address
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Address Line | 4319 CANADIAN RIVER DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-5401
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Country | US
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Telephone | 281-265-8967
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Fax | 281-265-7032
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DENISE BLACKMON-IMAR
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Credential |
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Telephone | 281-265-8967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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