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General NPI Number Information
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NPI Number | 1184182586
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Entity Type | Organization
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Legal Business Name | PEARLAND HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 2620 CULLEN BLVD STE 202
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City | PEARLAND
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State | TX
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Zip | 77581-9008
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Country | US
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Telephone | 713-319-5665
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Fax | 713-422-2549
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Provider Business Mailing Address
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Address Line | PO BOX 84268
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City | PEARLAND
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State | TX
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Zip | 77584-0015
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Country | US
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Telephone | 713-319-5665
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Fax | 713-422-2549
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSEPH PEREZ
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Credential |
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Telephone | 281-412-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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