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General NPI Number Information
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NPI Number | 1003844101
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Entity Type | Individual
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Provider Name | THADDEUS DREXEL HOUSTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1331 N ELM ST STE 200
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City | GREENSBORO
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State | NC
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Zip | 27401-6304
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Country | US
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Telephone | 336-274-6682
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Fax | 336-274-8097
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Provider Business Mailing Address
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Address Line | PO BOX 85378
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City | CHICAGO
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State | IL
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Zip | 60689-5378
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Country | US
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Telephone | 336-274-6682
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Fax | 336-274-8097
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301095598
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2009-02068
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 33023
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD 202562
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 52462
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2009-0152
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License Number State | NM
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M-10471
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD438167
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 32684
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License Number State | AZ
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 230879-1
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License Number State | NY
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101246277
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License Number State | VA
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Taxonomy #12
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07790600
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License Number State | NJ
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Taxonomy #13
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 42856
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License Number State | KY
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Taxonomy #14
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 063354
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License Number State | GA
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Taxonomy #15
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME 99907
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License Number State | FL
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