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General NPI Number Information
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NPI Number | 1194970152
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Entity Type | Organization
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Legal Business Name | MARY F. HEWITT, M.D., P.A.
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 2610 N ALEXANDER DR SUITE 201
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City | BAYTOWN
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State | TX
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Zip | 77520-3368
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Country | US
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Telephone | 281-427-6363
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Fax | 281-420-6867
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Provider Business Mailing Address
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Address Line | PO BOX 2115
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City | BAYTOWN
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State | TX
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Zip | 77522-2115
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Country | US
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Telephone | 281-427-6363
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Fax | 281-420-6867
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY FAYE HEWITT
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Credential | M.D.
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Telephone | 281-427-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K5553
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License Number State | TX
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