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General NPI Number Information
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NPI Number | 1003395872
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Entity Type | Individual
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Provider Name | SILAS STEVEN LUNA PA
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Gender | Male
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Dates
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Enumeration Date | 08/12/2018
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Last Update Date | 08/12/2018
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Provider Practice Location Address
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Address Line | 427 W 20TH ST STE 210
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City | HOUSTON
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State | TX
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Zip | 77008-2400
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Country | US
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Telephone | 713-862-3425
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BIRDSALL ST APT 140
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City | HOUSTON
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State | TX
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Zip | 77007-8181
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Country | US
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Telephone | 915-603-1810
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA12129
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License Number State | TX
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