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General NPI Number Information
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NPI Number | 1821561143
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL HEALTH AND SAFETY INTERNATIONAL, LLC
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 9201 STATE HIGHWAY 302
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City | MENTONE
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State | TX
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Zip | 79754
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Country | US
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Telephone | 432-923-7052
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Fax | 432-923-7053
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Provider Business Mailing Address
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Address Line | 4714 FM 1488 RD STE 124
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City | CONROE
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State | TX
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Zip | 77384-4929
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Country | US
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Telephone | 832-432-2030
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Fax | 832-432-2035
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DUSTIN HOFFPAUIR
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Credential |
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Telephone | 281-755-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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