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General NPI Number Information
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NPI Number | 1427068063
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Entity Type | Individual
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Provider Name | DEBORAH ANCONA - SCHULTZ MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 2900 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77098-3106
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Country | US
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Telephone | 281-358-7758
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Fax |
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Provider Business Mailing Address
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Address Line | 800 ROCKMEAD DR SUITE 208
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City | KINGWOOD
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State | TX
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Zip | 77339-2112
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Country | US
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Telephone | 281-358-7758
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | J9948
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License Number State | TX
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