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General NPI Number Information
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NPI Number | 1316445521
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Entity Type | Individual
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Provider Name | ANGEL RAFAEL NORBERT MILANES CSA
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Gender | Male
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 19618 LITTLE PINE LN
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City | KATY
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State | TX
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Zip | 77449-2673
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Country | US
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Telephone | 713-363-4943
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Fax |
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Provider Business Mailing Address
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Address Line | 77 E EDGEBROOK DR APT 1602
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City | HOUSTON
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State | TX
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Zip | 77034-1445
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Country | US
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Telephone | 832-274-5381
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Fax | 832-268-7043
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 17-637
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License Number State | TX
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