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General NPI Number Information
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NPI Number | 1083075576
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Entity Type | Organization
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Legal Business Name | AFFORDABLE URGENT CARE AND FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 5033 FM 1960 RD W SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77069-4562
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Country | US
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Telephone | 281-919-2061
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Fax | 832-461-1976
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Provider Business Mailing Address
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Address Line | PO BOX 591059
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City | HOUSTON
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State | TX
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Zip | 77259-1059
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Country | US
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Telephone | 281-919-2061
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Fax | 832-461-1976
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Authorized Official
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Title or Position | OWNER
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Name | DEYA J DAFASHY
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Credential | M.D.
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Telephone | 281-991-7603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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