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General NPI Number Information
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NPI Number | 1255796223
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Entity Type | Organization
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Legal Business Name | EMD HEALTH CENTERS INC.
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 203B S MAIN ST
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City | JASPER
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State | TX
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Zip | 75951-4413
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Country | US
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Telephone | 409-224-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 207 STANLEY CT
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-4544
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Country | US
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Telephone | 713-723-6325
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATOR
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Name | ABBAS KHAN
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Credential |
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Telephone | 713-723-6325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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