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General NPI Number Information
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NPI Number | 1023331543
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Entity Type | Organization
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Legal Business Name | LITTLE YORK MEDICAL DIAGNOSTIC CENTER PLLC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 1117 POST OAK PARK DR APT F
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City | HOUSTON
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State | TX
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Zip | 77027-9215
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Country | US
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Telephone | 979-492-3591
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 POST OAK PARK DR APT F
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City | HOUSTON
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State | TX
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Zip | 77027-9215
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Country | US
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Telephone | 979-492-3591
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH COTROPIA
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Credential |
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Telephone | 979-492-3591
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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 | F6543
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License Number State | TX
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