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General NPI Number Information
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NPI Number | 1134719990
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Entity Type | Organization
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Legal Business Name | AGENDA HEALTH PLLC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 11914 ASTORIA BLVD STE 590
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City | HOUSTON
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State | TX
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Zip | 77089-6079
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Country | US
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Telephone | 832-658-5100
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Fax | 832-230-8309
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Provider Business Mailing Address
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Address Line | 18333 EGRET BAY BLVD STE 140
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City | HOUSTON
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State | TX
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Zip | 77058-3239
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Country | US
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Telephone | 832-429-7924
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Fax | 832-230-8309
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Authorized Official
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Title or Position | ORGANIZER
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Name | ANGELA ASARE
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Credential | MD
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Telephone | 708-244-4226
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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 |
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License Number State |
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