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General NPI Number Information
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NPI Number | 1184710451
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Entity Type | Individual
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Provider Name | ANTWAR MELVIN HARRELL MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 605 HOLDERRIETH BLVD
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City | TOMBALL
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State | TX
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Zip | 77375-6445
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Country | US
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Telephone | 281-401-7943
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Fax | 281-357-2221
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Provider Business Mailing Address
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Address Line | PO BOX 3303
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City | SPRING
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State | TX
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Zip | 77383-3303
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Country | US
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Telephone | 832-777-5631
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Fax | 346-340-4325
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L8364
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License Number State | TX
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