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General NPI Number Information
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NPI Number | 1043269152
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Entity Type | Individual
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Provider Name | IWONA L CIBA DPM
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 05/10/2019
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Provider Practice Location Address
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Address Line | 25722 KINGSLAND BLVD STE 201B
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City | KATY
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State | TX
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Zip | 77494-6705
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Country | US
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Telephone | 281-395-9966
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Fax | 281-599-8596
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Provider Business Mailing Address
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Address Line | 9211 WEST RD SUITE 143-105
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City | HOUSTON
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State | TX
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Zip | 77064-8633
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Country | US
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Telephone | 281-395-9966
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Fax | 281-599-8596
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1427
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License Number State | TX
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