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General NPI Number Information
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NPI Number | 1013402924
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Entity Type | Individual
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Provider Name | CAROLINE KELLAGHER NOEL MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1919 S BRAESWOOD BLVD STE 5330
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City | HOUSTON
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State | TX
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Zip | 77030-4466
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Country | US
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Telephone | 832-824-3025
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Fax | 832-825-8904
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Provider Business Mailing Address
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Address Line | 1919 S BRAESWOOD BLVD STE 5330
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City | HOUSTON
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State | TX
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Zip | 77030-4466
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Country | US
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Telephone | 832-824-3025
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Fax | 832-825-8904
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2019035097
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 2019035097
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2019035097
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U1339
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License Number State | TX
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