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General NPI Number Information
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NPI Number | 1295764496
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Entity Type | Organization
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Legal Business Name | HOUSTON CANCER INSTITUTE PA
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 1220 BLALOCK RD SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77055-6472
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Country | US
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Telephone | 713-464-3343
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Fax | 713-464-2644
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Provider Business Mailing Address
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Address Line | 1220 BLALOCK RD SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77055-6472
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Country | US
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Telephone | 713-464-3343
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Fax | 713-464-2644
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARIA A. SCOUROS
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Credential | MD
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Telephone | 713-464-3343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F5741
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License Number State | TX
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