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General NPI Number Information
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NPI Number | 1770726580
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Entity Type | Organization
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Legal Business Name | CLINIMED CONSULTANTS, LLC
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 04/08/2009
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Provider Practice Location Address
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Address Line | 5814 WINDY KNOLL LN
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City | ROSHARON
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State | TX
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Zip | 77583-2058
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Country | US
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Telephone | 713-865-1414
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Fax | 281-972-9601
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Provider Business Mailing Address
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Address Line | PO BOX 540878
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City | HOUSTON
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State | TX
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Zip | 77254-0878
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Country | US
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Telephone | 713-865-1414
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DERRICK PARKER
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Credential |
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Telephone | 713-865-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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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 | 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 #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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