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General NPI Number Information
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NPI Number | 1346578697
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Entity Type | Individual
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Provider Name | PAMELA LUPO MD
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Gender | Female
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 250 BLOSSOM ST FL 4
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City | WEBSTER
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State | TX
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Zip | 77598-4204
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Country | US
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Telephone | 409-772-3695
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ NEUROLOGY DEPT
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone | 713-798-6151
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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 | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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License Number | P3384
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License Number State | TX
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