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General NPI Number Information
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NPI Number | 1972476059
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Entity Type | Organization
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Legal Business Name | ENTRAMED, INC.
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 447
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone | 303-848-6369
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Fax | 303-848-6329
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Provider Business Mailing Address
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Address Line | 27905 COMMERCIAL PARK RD STE 240
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City | TOMBALL
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State | TX
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Zip | 77375-6580
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Country | US
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Telephone | 713-955-2123
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Fax | 281-742-2589
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Authorized Official
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Title or Position | CO-CEO
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Name | JEREMY CRABB
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Credential |
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Telephone | 713-955-2123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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