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General NPI Number Information
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NPI Number | 1427030196
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Entity Type | Individual
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Provider Name | JOSE VICTOR IGLESIAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 17203 RED OAK DR STE 202
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City | HOUSTON
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State | TX
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Zip | 77090-2613
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Country | US
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Telephone | 281-444-9400
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Fax | 281-444-1254
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Provider Business Mailing Address
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Address Line | 17203 RED OAK DR STE 202
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City | HOUSTON
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State | TX
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Zip | 77090-2613
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Country | US
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Telephone | 281-444-9400
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Fax | 281-444-1224
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | E1343
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License Number State | TX
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