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General NPI Number Information
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NPI Number | 1346979291
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Entity Type | Organization
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Legal Business Name | PRIME HEALTHCARE OF CYPRESS LLC
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 16700 HOUSE & HAHL ROAD BUILDING 8A
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City | CYPRESS
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State | TX
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Zip | 77433
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Country | US
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Telephone | 832-387-4007
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Fax |
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Provider Business Mailing Address
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Address Line | 16700 HOUSE & HAHL RD BUILDING 8A
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City | CYPRESS
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State | TX
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Zip | 77433
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Country | US
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Telephone | 832-260-8969
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Fax |
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Authorized Official
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Title or Position | MD
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Name | HERMANJEET GREWAL
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Credential |
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Telephone | 832-387-4007
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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 |
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License Number State |
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