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General NPI Number Information
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NPI Number | 1033414115
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Entity Type | Organization
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Legal Business Name | PHILIP YOSOWITZ, M.D., P.A.
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 75515 S. MAIN #730
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-797-1488
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Fax | 713-797-6616
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Provider Business Mailing Address
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Address Line | 75515 S. MAIN #730
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-797-1488
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Fax | 713-797-6616
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | PHILIP YOSOWITZ
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Credential | M.D.
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Telephone | 713-797-1488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number |
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License Number State |
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