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General NPI Number Information
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NPI Number | 1871061127
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Entity Type | Organization
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Legal Business Name | MY NURSE CONSULTANT, LLC
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 5872 FM 350 N
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City | LIVINGSTON
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State | TX
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Zip | 77351-7165
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Country | US
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Telephone | 936-444-2580
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Fax | 936-967-8943
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Provider Business Mailing Address
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Address Line | 5872 FM 350 N
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City | LIVINGSTON
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State | TX
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Zip | 77351-7165
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Country | US
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Telephone | 936-444-2580
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Fax | 936-967-8943
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARON LAWRENCE
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Credential | RN
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Telephone | 936-444-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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