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General NPI Number Information
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NPI Number | 1275198509
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Entity Type | Organization
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Legal Business Name | ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 3000 ALDINE MAIL ROUTE RD, BUILDING C, STE 200
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City | HOUSTON
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State | TX
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Zip | 77039
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Country | US
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Telephone | 713-773-0803
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 CORPORATE DR STE 120
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City | HOUSTON
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State | TX
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Zip | 77036-5113
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Country | US
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Telephone | 713-773-0803
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Fax | 713-275-0951
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Authorized Official
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Title or Position | CEO
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Name | ANDREA CARACOSTIS
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Credential |
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Telephone | 713-773-0803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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