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General NPI Number Information
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NPI Number | 1205181401
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Entity Type | Individual
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Provider Name | AMY CAO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 3601 N MACGREGOR WAY SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77004-8004
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Country | US
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Telephone | 713-873-3875
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20124
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City | HOUSTON
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State | TX
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Zip | 77225
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Country | US
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Telephone | 832-377-0112
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Fax |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | Q1578
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | BP20042719
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License Number State | TX
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