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General NPI Number Information
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NPI Number | 1083748677
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Entity Type | Individual
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Provider Name | JUDITH M EGERTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 507 N SAM HOUSTON PKWY E SUITE 245
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City | HOUSTON
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State | TX
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Zip | 77060-4021
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Country | US
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Telephone | 877-293-1573
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Fax | 877-356-3108
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Provider Business Mailing Address
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Address Line | 4209 HOUSE OF YORK
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City | AUSTIN
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State | TX
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Zip | 78730-3455
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Country | US
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Telephone | 512-372-8933
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F6601
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License Number State | TX
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