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General NPI Number Information
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NPI Number | 1134739220
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Entity Type | Organization
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Legal Business Name | ALMSJEE MEDICAL
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 1900 NORTH LOOP W STE 370
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City | HOUSTON
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State | TX
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Zip | 77018-8136
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Country | US
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Telephone | 956-655-7015
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 MYSTERIUM LN
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City | ROSENBERG
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State | TX
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Zip | 77469-2057
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Country | US
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Telephone | 956-655-7015
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN O EDIONWE
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Credential | MD
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Telephone | 956-655-7015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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