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General NPI Number Information
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NPI Number | 1194962662
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Entity Type | Organization
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Legal Business Name | MEDICOLOGY HEALTH CENTER LLC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 7991 S. DAIRY ASHFORD RD. SUITE A
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City | HOUSTON
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State | TX
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Zip | 77072
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Country | US
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Telephone | 281-495-1950
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Fax | 281-495-1962
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Provider Business Mailing Address
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Address Line | 7991 S. DAIRY ASHFORD RD. SUITE A
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City | HOUSTON
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State | TX
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Zip | 77072
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Country | US
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Telephone | 281-495-1950
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Fax | 281-495-1962
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Authorized Official
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Title or Position | MEDICAL OPERATOR
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Name | DR. CUONG TRINH
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Credential | M.D.
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Telephone | 281-495-1950
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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 | J2383
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License Number State | TX
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