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General NPI Number Information
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NPI Number | 1013398940
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Entity Type | Individual
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Provider Name | ATUL MATTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1702 FM 1960 BYPASS RD E
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City | HUMBLE
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State | TX
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Zip | 77338-3916
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Country | US
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Telephone | 281-446-7173
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Fax | 281-446-3841
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Provider Business Mailing Address
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Address Line | 1702 FM 1960 BYPASS RD E
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City | HUMBLE
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State | TX
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Zip | 77338-3916
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Country | US
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Telephone | 281-446-7173
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Fax | 281-446-3841
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T5168
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | T5168
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | T5168
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License Number State | TX
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