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General NPI Number Information
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NPI Number | 1942729207
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Entity Type | Organization
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Legal Business Name | E3HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 602 STRADA CIR STE 116
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City | MANSFIELD
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State | TX
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Zip | 76063-3201
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Country | US
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Telephone | 800-208-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 602 STRADA CIR STE 116
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City | MANSFIELD
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State | TX
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Zip | 76063-3201
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Country | US
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Telephone | 800-208-4194
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CO-FOUNDER
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Name | CORAL MAY
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Credential | RN
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Telephone | 800-208-4194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D2134744
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License Number State | TX
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