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General NPI Number Information
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NPI Number | 1104013499
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Entity Type | Individual
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Provider Name | CARLOS ANDRES MURILLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 7400 FANNIN ST STE 870
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City | HOUSTON
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State | TX
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Zip | 77054-1935
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Country | US
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Telephone | 832-582-8114
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Fax | 832-830-8927
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Provider Business Mailing Address
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Address Line | PO BOX 1019
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City | BELLAIRE
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State | TX
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Zip | 77402-1019
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Country | US
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Telephone | 832-582-8114
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Fax | 832-830-8927
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M6787
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | M6787
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License Number State | TX
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