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General NPI Number Information
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NPI Number | 1114058575
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Entity Type | Organization
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Legal Business Name | TWO HOUSTON NEONATAL PERINATAL PHYSICIANS
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5959 WEST LOOP S # 260
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City | BELLAIRE
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State | TX
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Zip | 77401-2421
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Country | US
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Telephone | 713-661-2701
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Fax | 713-661-3197
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Provider Business Mailing Address
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Address Line | 5959 WEST LOOP S # 260
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City | BELLAIRE
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State | TX
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Zip | 77401-2421
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Country | US
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Telephone | 713-661-2701
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Fax | 713-661-3197
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. STEPHEN P PADGETT
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Credential |
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Telephone | 713-661-2701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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