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General NPI Number Information
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NPI Number | 1295158293
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Entity Type | Organization
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Legal Business Name | LARGENTA CONSULTANTS PA
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 9889 BELLAIRE BLVD 124
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City | HOUSTON
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State | TX
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Zip | 77036-3463
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Country | US
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Telephone | 281-501-9847
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Fax | 281-501-9854
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Provider Business Mailing Address
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Address Line | 9889 BELLAIRE BLVD 124
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City | HOUSTON
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State | TX
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Zip | 77036-3463
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Country | US
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Telephone | 281-501-9847
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Fax | 281-501-9854
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS DUMAS
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Credential | MD
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Telephone | 713-858-4028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | K0289
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License Number State | TX
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