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General NPI Number Information
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NPI Number | 1972697068
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Entity Type | Organization
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Legal Business Name | IMS EXPERTS, LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 1696 COUNTRY CLUB DRVIE
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City | MANSFIELD
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State | TX
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Zip | 76063-2625
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Country | US
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Telephone | 817-453-9767
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Fax | 817-473-1839
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Provider Business Mailing Address
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Address Line | 1696 COUNTRY CLUB DRVIE
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City | MANSFIELD
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State | TX
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Zip | 76063-2625
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Country | US
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Telephone | 817-453-9767
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Fax | 817-473-1839
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY WELCH
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Credential |
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Telephone | 817-453-9767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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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 | 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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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0099159
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License Number State | TX
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