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General NPI Number Information
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NPI Number | 1972250942
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Entity Type | Organization
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Legal Business Name | PROOFUREVOLVING INC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 22507 RED RIVER DR
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City | KATY
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State | TX
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Zip | 77450-3319
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Country | US
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Telephone | 832-691-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 10940 RACK ST
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City | HOUSTON
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State | TX
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Zip | 77051-4644
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Country | US
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Telephone | 832-691-9773
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MRS. RACHAEL PINSON
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Credential |
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Telephone | 832-691-9773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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