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General NPI Number Information
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NPI Number | 1114920063
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Entity Type | Individual
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Provider Name | L. REED SHIRLEY MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 15400 SOUTHWEST FWY STE 125
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City | SUGAR LAND
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State | TX
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Zip | 77478-3879
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Country | US
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Telephone | 281-242-0131
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Fax | 281-242-7402
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Provider Business Mailing Address
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Address Line | 12606 W HOUSTON CENTER BLVD STE 260
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City | HOUSTON
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State | TX
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Zip | 77082-2790
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Country | US
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Telephone | 713-596-8526
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Fax | 713-596-8560
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | H9421
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License Number State | TX
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