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General NPI Number Information
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NPI Number | 1851540959
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Entity Type | Organization
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Legal Business Name | PEST KING, LLC
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 2800 JEANETTA ST #2605
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City | HOUSTON
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State | TX
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Zip | 77063-4049
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Country | US
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Telephone | 713-266-5305
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 JEANETTA ST #2605
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City | HOUSTON
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State | TX
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Zip | 77063-4049
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Country | US
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Telephone | 713-266-5305
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM MILES SELF
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Credential |
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Telephone | 713-266-5305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | TPCL9862
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License Number State | TX
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