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General NPI Number Information
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NPI Number | 1093040636
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Entity Type | Organization
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Legal Business Name | REMOTE PHYSICIAN CONSULTING PA
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 5900 MEMORIAL DRIVE SUITE 214
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City | HOUSTON
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State | TX
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Zip | 77007-8004
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Country | US
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Telephone | 832-380-3626
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Fax | 866-681-8739
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Provider Business Mailing Address
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Address Line | PO BOX 541957
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City | HOUSTON
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State | TX
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Zip | 77254-1957
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Country | US
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Telephone | 832-380-3626
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Fax | 866-681-8739
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANGELIA D KOLENDA
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Credential |
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Telephone | 832-380-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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