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General NPI Number Information
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NPI Number | 1295758282
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Entity Type | Individual
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Provider Name | MS. DIAN GAYLE TEINERT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD # 111PC
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-794-7569
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Fax |
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Provider Business Mailing Address
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Address Line | 7826 BURNING HILLS DR
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City | HOUSTON
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State | TX
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Zip | 77071-1311
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Country | US
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Telephone | 713-794-7569
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Fax | 713-794-7838
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 221412
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License Number State | TX
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