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General NPI Number Information
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NPI Number | 1053378497
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Entity Type | Organization
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Legal Business Name | HOUSTON NEUROLOGICAL INSTITUTE LLP
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 4141 VISTA RD
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City | PASADENA
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State | TX
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Zip | 77504-2113
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Country | US
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Telephone | 713-941-3100
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Fax | 713-947-6103
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Provider Business Mailing Address
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Address Line | 4141 VISTA RD
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City | PASADENA
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State | TX
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Zip | 77504-2113
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Country | US
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Telephone | 713-941-3100
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Fax | 713-947-6103
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Authorized Official
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Title or Position | PARTNER
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Name | KIMBERLY E MONDAY
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Credential | MD
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Telephone | 713-947-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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