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General NPI Number Information
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NPI Number | 1164431250
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Entity Type | Individual
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Provider Name | VICTORINO GAFFUD CUMAGUN MD
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 3372 TAMPA ST
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City | HOUSTON
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State | TX
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Zip | 77021-1144
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Country | US
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Telephone | 713-622-0641
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Fax | 713-622-0649
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Provider Business Mailing Address
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Address Line | 3030 LA QUINTA DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3130
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Country | US
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Telephone | 281-438-5812
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | E4828
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License Number State | TX
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