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General NPI Number Information
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NPI Number | 1104047018
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Entity Type | Organization
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Legal Business Name | DCOA PHYSICIAN ASSOCIATES, PA
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 12266 FM 1960
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City | HOUSTON
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State | TX
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Zip | 77065
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Country | US
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Telephone | 713-840-5110
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Fax | 287-469-9119
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Provider Business Mailing Address
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Address Line | 13100 NORTHWEST FREEWAY SUITE # 400
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City | HOUSTON
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State | TX
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Zip | 77040
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Country | US
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Telephone | 832-237-3500
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Fax | 281-897-9906
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Authorized Official
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Title or Position | CEO
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Name | MR. CHUCK DOWLING
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Credential |
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Telephone | 713-840-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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