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General NPI Number Information
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NPI Number | 1144888470
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Entity Type | Individual
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Provider Name | EBRU UNLU
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Gender | Female
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Dates
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Enumeration Date | 06/01/2019
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1400 PRESSLER ST # 1482
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City | HOUSTON
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State | TX
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Zip | 77030-3722
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Country | US
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Telephone | 713-563-9474
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 BUFFALO SPEEDWAY APT 1337
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City | HOUSTON
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State | TX
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Zip | 77025-1447
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Country | US
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Telephone | 281-450-8757
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.146622
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License Number State | OH
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