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General NPI Number Information
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NPI Number | 1417959784
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Entity Type | Organization
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Legal Business Name | MEDICAL CLINIC OF BELLAIRE PA
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 5959 WEST LOOP S STE 510
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-526-5606
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Fax | 713-526-0058
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Provider Business Mailing Address
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Address Line | 5959 WEST LOOP S STE 510
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City | BELLAIRE
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State | TX
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Zip | 77401-2406
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Country | US
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Telephone | 713-526-5606
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Fax | 713-526-0058
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ESTHER GUY
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Credential | MD
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Telephone | 713-526-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K5547
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License Number State | TX
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