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General NPI Number Information
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NPI Number | 1215238944
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Entity Type | Organization
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Legal Business Name | NICHE PHYSICIANS BILLING LLC
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 1400 MCKINNEY ST #2209
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City | HOUSTON
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State | TX
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Zip | 77010-4023
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Country | US
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Telephone | 713-277-4035
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MCKINNEY ST #2209
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City | HOUSTON
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State | TX
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Zip | 77010-4023
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Country | US
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Telephone | 713-277-4035
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ANGELA LEDBETTER
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Credential | M.D.
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Telephone | 713-277-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N5184
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License Number State | TX
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