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General NPI Number Information
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NPI Number | 1922016724
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Entity Type | Organization
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Legal Business Name | TEAM VISION MARKETING GROUP, LLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2900 OLTON RD STE 11
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City | PLAINVIEW
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State | TX
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Zip | 79072-6710
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Country | US
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Telephone | 806-288-2273
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Fax | 806-288-2276
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Provider Business Mailing Address
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Address Line | 2900 OLTON RD STE 11
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City | PLAINVIEW
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State | TX
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Zip | 79072-6710
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Country | US
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Telephone | 806-288-2273
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Fax | 806-288-2276
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. DAVID CLARK
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Credential |
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Telephone | 806-288-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 4934610002
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License Number State | TX
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