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General NPI Number Information
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NPI Number | 1912417585
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Entity Type | Organization
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Legal Business Name | DIABETES COMPLICATIONS RESOLUTION CENTER, LLC
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 2900 NORTH LOOP W STE 700
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City | HOUSTON
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State | TX
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Zip | 77092-8868
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Country | US
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Telephone | 281-447-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 NORTH LOOP W STE 700
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City | HOUSTON
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State | TX
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Zip | 77092-8868
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Country | US
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Telephone | 281-447-6800
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | JENNIFER ANN NEMY
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Credential |
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Telephone | 281-447-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State | TX
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