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General NPI Number Information
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NPI Number | 1003752817
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Entity Type | Organization
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Legal Business Name | ALLY
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 18111 TIMBER FOREST DR
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City | HUMBLE
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State | TX
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Zip | 77346-4197
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Country | US
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Telephone | 512-348-6694
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Fax |
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Provider Business Mailing Address
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Address Line | 18111 TIMBER FOREST DR
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City | HUMBLE
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State | TX
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Zip | 77346-4197
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Country | US
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Telephone | 512-348-6694
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES SMITH
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Credential |
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Telephone | 512-348-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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