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General NPI Number Information
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NPI Number | 1891215711
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Entity Type | Organization
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Legal Business Name | PARATUS MEDICAL, INC.
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 5713 82ND ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2633
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Country | US
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Telephone | 806-993-6560
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Fax | 806-993-6565
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Provider Business Mailing Address
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Address Line | 5713 82ND ST
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City | LUBBOCK
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State | TX
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Zip | 79424-2633
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Country | US
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Telephone | 806-993-6560
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Fax | 806-993-6565
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Authorized Official
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Title or Position | DIRECTOR
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Name | MELISSA LORRAINE SMITH
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Credential |
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Telephone | 806-993-6560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L8194
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License Number State | TX
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