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General NPI Number Information
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NPI Number | 1437359825
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Entity Type | Individual
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Provider Name | SUPRIYA PRABHU FRANKLIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 808 RUSSELL PALMER RD STE 151
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City | KINGWOOD
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State | TX
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Zip | 77339-1452
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Country | US
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Telephone | 281-540-0685
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Fax | 281-540-0684
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Provider Business Mailing Address
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Address Line | 3003 MEMORIAL CT APARTMENT 2409
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City | HOUSTON
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State | TX
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Zip | 77007-5988
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Country | US
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Telephone | 786-427-7598
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N8648
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License Number State | TX
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