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General NPI Number Information
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NPI Number | 1801302203
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Entity Type | Organization
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Legal Business Name | LONGVIEW INTEGRATED MEDICINE PLLC
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 2 DOCTOR CIR
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City | LONGVIEW
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State | TX
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Zip | 75605-5050
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Country | US
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Telephone | 903-753-2322
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Fax |
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Provider Business Mailing Address
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Address Line | 2 DOCTOR CIR
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City | LONGVIEW
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State | TX
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Zip | 75605-5050
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Country | US
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Telephone | 903-753-2322
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | DR. RANDY V. CURTIS
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Credential | DC
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Telephone | 903-753-2322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State | TX
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