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General NPI Number Information
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NPI Number | 1194295030
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Entity Type | Organization
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Legal Business Name | WESTHEIMER MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 5433 WESTHEIMER RD STE 275
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City | HOUSTON
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State | TX
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Zip | 77056-5331
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Country | US
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Telephone | 713-360-6336
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Fax | 713-360-6514
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Provider Business Mailing Address
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Address Line | 5433 WESTHEIMER RD STE 275
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City | HOUSTON
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State | TX
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Zip | 77056-5331
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Country | US
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Telephone | 713-360-6336
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Fax | 713-360-6514
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NICOLA ABIOLA AJAYI
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Credential | RN
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Telephone | 713-360-6336
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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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