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General NPI Number Information
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NPI Number | 1053789107
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Entity Type | Organization
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Legal Business Name | HOUSTON PATIENT ADVOCACY, LLC
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 09/07/2015
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Provider Practice Location Address
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Address Line | 6800 WEST LOOP S STE 460
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City | BELLAIRE
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State | TX
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Zip | 77401-4533
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Country | US
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Telephone | 281-888-2406
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Fax | 832-200-3683
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Provider Business Mailing Address
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Address Line | 6800 WEST LOOP S STE 460
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City | BELLAIRE
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State | TX
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Zip | 77401-4533
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Country | US
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Telephone | 281-888-2406
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Fax | 832-200-3683
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Authorized Official
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Title or Position | PRESIDENT
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Name | VIC RAJAN
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Credential | M.D.
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Telephone | 832-447-0989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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