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General NPI Number Information
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NPI Number | 1982855458
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Entity Type | Organization
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Legal Business Name | MEDITONICS CORPORATION
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 17030 NANES DR
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City | HOUSTON
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State | TX
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Zip | 77090-2503
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Country | US
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Telephone | 818-571-9241
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Fax |
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Provider Business Mailing Address
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Address Line | 12115 MAGNOLIA BLVD SUITE 73
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City | N HOLLYWOOD
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State | CA
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Zip | 91607-2609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CLEVE B COLLINS
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Credential |
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Telephone | 818-571-9241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | F2608
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License Number State | TX
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