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General NPI Number Information
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NPI Number | 1174086003
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Entity Type | Individual
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Provider Name | LUISA M ALZATE
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 6901 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030-3901
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Country | US
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Telephone | 832-741-8607
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Fax |
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Provider Business Mailing Address
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Address Line | 708 LITTLE JOHN LN
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City | HOUSTON
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State | TX
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Zip | 77024-3608
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Country | US
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Telephone | 832-741-8607
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | 859750
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License Number State | TX
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