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General NPI Number Information
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NPI Number | 1023382348
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Entity Type | Individual
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Provider Name | CONI C CHEESMAN P.A.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2012
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1 BAYLOR PLZ SUITE 225D
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone | 713-798-6957
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Fax | 713-798-5162
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Provider Business Mailing Address
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Address Line | 2511 MANORWOOD ST
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City | SUGAR LAND
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State | TX
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Zip | 77478-1888
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Country | US
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Telephone | 281-240-1086
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1087
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License Number State | TX
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