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General NPI Number Information
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NPI Number | 1306528120
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Entity Type | Organization
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Legal Business Name | A & J FAMILY CLINIC CORP.
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 7303 BREEN DR STE I
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City | HOUSTON
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State | TX
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Zip | 77086-3610
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Country | US
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Telephone | 832-478-5753
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Fax | 346-206-3991
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Provider Business Mailing Address
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Address Line | 7303 BREEN DR STE I
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City | HOUSTON
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State | TX
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Zip | 77086-3610
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Country | US
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Telephone | 713-966-9579
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Fax | 346-206-3991
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. ADRIANA PODIO
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Credential | FNP-C
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Telephone | 832-478-5753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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