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General NPI Number Information
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NPI Number | 1396842084
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Entity Type | Individual
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Provider Name | SAVVAS COSTAS POULOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2121 PEASE ST STE 600
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City | HARLINGEN
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State | TX
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Zip | 78550-8326
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Country | US
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Telephone | 956-215-8520
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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Country | US
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Telephone |
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | J8091
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License Number State | TX
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