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General NPI Number Information
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NPI Number | 1417150731
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Entity Type | Organization
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Legal Business Name | BRAZORIA COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 432 E MULBERRY ST
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City | ANGLETON
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State | TX
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Zip | 77515-4736
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Country | US
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Telephone | 979-864-1484
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Fax |
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Provider Business Mailing Address
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Address Line | 432 E MULBERRY ST
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City | ANGLETON
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State | TX
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Zip | 77515-4736
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Country | US
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Telephone | 979-864-1484
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LEO DENNIS O'GORMAN
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Credential | MD
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Telephone | 979-864-1484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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