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General NPI Number Information
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NPI Number | 1063616647
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Entity Type | Individual
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Provider Name | JAIME JENEE MIDDLETON MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 10970 SHADOW CREEK PKWY SUITE NUMBER 250
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City | PEARLAND
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State | TX
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Zip | 77584-0100
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Country | US
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Telephone | 832-615-1109
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Fax | 832-615-1110
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Provider Business Mailing Address
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Address Line | P.O. BOX 890213
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City | HOUSTON
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State | TX
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Zip | 77289
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Country | US
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Telephone | 281-480-7832
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Fax | 832-615-1110
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | P4354
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License Number State | TX
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