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General NPI Number Information
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NPI Number | 1841924115
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Entity Type | Organization
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Legal Business Name | FRONTLINE MEDICAL DEVELOPMENT AND DIGITAL SERVICES
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 9002 CHIMNEY ROCK RD STE G255
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City | HOUSTON
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State | TX
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Zip | 77096-2598
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Country | US
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Telephone | 281-972-6391
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Fax | 912-417-3070
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Provider Business Mailing Address
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Address Line | PO BOX 27881
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City | HOUSTON
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State | TX
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Zip | 77227-7881
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Country | US
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Telephone | 281-972-6391
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Fax | 912-417-3070
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Authorized Official
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Title or Position | INSURANCE LEAD
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Name | CHRISTINA PINA
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Credential |
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Telephone | 281-972-6391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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