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General NPI Number Information
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NPI Number | 1316136724
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Entity Type | Individual
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Provider Name | CHARLES FRED XELLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 3000 RICHMOND AVE. STE. 540
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 713-527-9971
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Fax | 713-527-0561
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Provider Business Mailing Address
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Address Line | 1401 CABOT LAKES DR.
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City | LEAGUE CITY
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State | TX
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Zip | 77537
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Country | US
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Telephone | 713-527-9971
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Fax | 713-527-0561
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MDH5651
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License Number State | TX
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