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General NPI Number Information
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NPI Number | 1922472356
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Entity Type | Organization
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Legal Business Name | PROACTIVE BIOMETRIC INGAGEMENT, LLC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 5960 W PARKER RD SUITE 278-430
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City | PLANO
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State | TX
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Zip | 75093-7767
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Country | US
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Telephone | 844-724-7283
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Fax | 844-348-2315
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Provider Business Mailing Address
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Address Line | 5960 W PARKER RD SUITE 278-430
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City | PLANO
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State | TX
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Zip | 75093-7767
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Country | US
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Telephone | 844-724-7283
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Fax | 844-348-2315
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. KENITH BERNARD LEWIS
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Credential |
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Telephone | 248-470-9520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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