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General NPI Number Information
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NPI Number | 1134475239
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Entity Type | Individual
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Provider Name | PIMPRAPA VEJPONGSA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 6431 FANNIN ST MSB 1.134
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST STE 1901
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City | HOUSTON
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State | TX
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Zip | 77030-2719
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Country | US
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Telephone | 346-238-0115
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10043620
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | S1944
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License Number State | TX
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