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General NPI Number Information
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NPI Number | 1255524484
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Entity Type | Organization
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Legal Business Name | ANGELA M. DAVIS, M.D.P.A.
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 915 GESSNER RD SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77024-2527
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Country | US
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Telephone | 949-713-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD SUITE 500
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City | HOUSTON
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State | TX
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Zip | 77024-2527
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JESSICA GRAHAM
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Credential |
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Telephone | 949-713-3998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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