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General NPI Number Information
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NPI Number | 1003126723
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Entity Type | Organization
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Legal Business Name | JED LEE HOWARD PA
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP SOUTH SUITE #650
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City | BELLAIRE
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State | TX
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Zip | 77401-0000
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Country | US
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Telephone | 713-357-7232
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Fax |
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Provider Business Mailing Address
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Address Line | 4415 CRENSHAW
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City | PASADENA
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State | TX
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Zip | 77504-3628
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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 | PHYSICIAN
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Name | JED LEE HOWARD
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Credential | M.D.
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Telephone | 713-357-7232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | D2242
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License Number State | TX
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