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General NPI Number Information
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NPI Number | 1023189685
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Entity Type | Organization
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Legal Business Name | NORTHWEST ONCOLOGY CLINIC, PA
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 810 PEAKWOOD DR SUITE 101
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City | HOUSTON
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State | TX
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Zip | 77090-2909
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Country | US
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Telephone | 281-440-8951
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Fax | 281-440-0280
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Provider Business Mailing Address
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Address Line | 810 PEAKWOOD DR SUITE 101
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City | HOUSTON
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State | TX
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Zip | 77090-2909
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Country | US
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Telephone | 281-440-8951
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Fax | 281-440-0280
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY EDWARD ERWIN
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Credential | M.D.
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Telephone | 281-440-8951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | D7024
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License Number State | TX
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