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General NPI Number Information
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NPI Number | 1851930911
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Entity Type | Organization
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Legal Business Name | CARDINAL REMODELING, LLC
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 395 N 10TH ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1901
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Country | US
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Telephone | 409-659-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 395 N 10TH ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1901
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Country | US
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Telephone | 409-659-8883
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | JEREMY LANGFORD
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Credential |
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Telephone | 409-659-8883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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