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General NPI Number Information
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NPI Number | 1104867522
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Entity Type | Individual
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Provider Name | CELESTINE ALIPUI VAN LARE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3611 WALNUT FOREST LN
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City | SPRING
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State | TX
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Zip | 77388-4503
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Country | US
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Telephone | 281-450-2040
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Fax | 281-288-3781
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Provider Business Mailing Address
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Address Line | 3611 WALNUT FOREST LN
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City | SPRING
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State | TX
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Zip | 77388-4503
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Country | US
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Telephone | 281-450-2040
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | K3061
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K3061
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License Number State | TX
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