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General NPI Number Information
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NPI Number | 1376774539
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Entity Type | Individual
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Provider Name | FRITZ S RAZVI P.A.C
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Gender | Male
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 6400 HILLCROFT ST
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City | HOUSTON
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State | TX
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Zip | 77081-3106
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Country | US
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Telephone | 713-988-3921
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Fax | 713-771-8552
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Provider Business Mailing Address
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Address Line | 16418 EMBER HOLLOW LN
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City | SUGAR LAND
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State | TX
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Zip | 77498-7129
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Country | US
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Telephone | 713-988-3921
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Fax | 713-771-8552
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA00808
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License Number State | TX
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