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General NPI Number Information
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NPI Number | 1013018936
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Entity Type | Individual
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Provider Name | MATTHEW ALLEN MUSICK MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 6651 MAIN STREET PEDIATRICS CRITICAL CARE
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 832-826-6258
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Fax |
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Provider Business Mailing Address
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Address Line | 3726 LINKVIEW DR
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City | HOUSTON
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State | TX
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Zip | 77025-3516
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Country | US
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Telephone | 713-816-7865
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | A92539
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | N1790
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License Number State | TX
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