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General NPI Number Information
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NPI Number | 1164278693
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Entity Type | Organization
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Legal Business Name | LOMEDA FAMILY MEDICINE CLINIC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3129 KINGSLEY DR STE 320
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City | PEARLAND
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State | TX
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Zip | 77584-8506
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Country | US
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Telephone | 346-590-2120
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Fax | 832-346-0257
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Provider Business Mailing Address
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Address Line | 3129 KINGSLEY DR STE 320
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City | PEARLAND
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State | TX
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Zip | 77584-8506
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Country | US
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Telephone | 412-855-6737
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Fax | 832-346-0257
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Authorized Official
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Title or Position | OWNER
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Name | IRENE LOMEDA
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Credential | MD
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Telephone | 412-855-6737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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