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General NPI Number Information
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NPI Number | 1245590785
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Entity Type | Organization
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Legal Business Name | PLB UNITED, PA
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1507
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-475-8686
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Fax | 713-475-8688
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Provider Business Mailing Address
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Address Line | 923 PASADENA FWY
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City | PASADENA
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State | TX
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Zip | 77506-1400
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Country | US
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Telephone | 713-475-8686
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Fax | 713-475-8688
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Authorized Official
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Title or Position | OWENR/PHYSICIAN
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Name | ALLEN R. DORSETT
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Credential | D.O.
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Telephone | 713-475-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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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 |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #5
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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 |
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License Number State | TX
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