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NPI 1215940770

NPI 1215940770 : MONIQUE STAATS BELL PT : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1215940770
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    Entity Type          |    Individual 
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    Provider Name        |    MONIQUE STAATS BELL PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/15/2006
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    Last Update Date     |    02/07/2012
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Provider Practice Location Address
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    Address Line         |    14511 LAKESIDE TERRACE DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77044-5292
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    Country              |    US
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    Telephone            |    281-358-0102
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    Fax                  |    281-358-0219
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Provider Business Mailing Address
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    Address Line         |    14511 LAKESIDE TERRACE DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77044-5292
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    Country              |    US
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    Telephone            |    713-417-2783
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    Fax                  |    281-436-0550
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1047058
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    License Number State |    TX
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