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General NPI Number Information
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NPI Number | 1306919162
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Entity Type | Individual
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Provider Name | RACHEL CHUNDENU KIENTCHA -TITA M.D
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2424 HAMILTON ST STE 300
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City | HOUSTON
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State | TX
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Zip | 77004-1203
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Country | US
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Telephone | 281-933-4447
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Fax | 281-933-5557
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Provider Business Mailing Address
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Address Line | 2424 HAMILTON ST STE 300
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City | HOUSTON
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State | TX
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Zip | 77004-1203
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Country | US
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Telephone | 713-485-4005
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Fax |
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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 | 0003310
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M9410
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License Number State | TX
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