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General NPI Number Information
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NPI Number | 1225275704
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Entity Type | Organization
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Legal Business Name | PLENARY MUA INSTITUTE, LLC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 2301 YORKTOWN ST SUITE 209
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City | HOUSTON
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State | TX
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Zip | 77056-4570
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Country | US
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Telephone | 713-960-8575
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Fax | 713-960-8594
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Provider Business Mailing Address
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Address Line | 2301 YORKTOWN ST SUITE 209
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City | HOUSTON
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State | TX
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Zip | 77056-4570
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Country | US
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Telephone | 713-960-8575
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Fax | 713-960-8594
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. DONALD W SMITH
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Credential | MD
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Telephone | 713-960-8575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 6213
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License Number State | TX
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