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General NPI Number Information
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NPI Number | 1285789917
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Entity Type | Organization
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Legal Business Name | MEMORIAL HERMANN HEALTH SYSTEM
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 902 FROSTWOOD DR STE 288
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City | HOUSTON
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State | TX
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Zip | 77024-2403
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Country | US
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Telephone | 713-338-7400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 301162
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City | DALLAS
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State | TX
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Zip | 75303-1162
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Country | US
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Telephone | 713-338-7400
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Fax | 713-338-7401
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Authorized Official
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Title or Position | CFO
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Name | MR. BRIAN DEAN
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Credential |
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Telephone | 713-242-2396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 002338
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License Number State | TX
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