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General NPI Number Information
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NPI Number | 1447323563
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Entity Type | Individual
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Provider Name | HERMAN JAMES MABRIE III M. D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 150 W PARKER RD SUITE 506
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City | HOUSTON
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State | TX
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Zip | 77076-2951
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Country | US
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Telephone | 713-697-8382
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Fax | 713-697-9410
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Provider Business Mailing Address
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Address Line | 150 W PARKER RD SUITE 506
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City | HOUSTON
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State | TX
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Zip | 77076-2951
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Country | US
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Telephone | 713-697-8382
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Fax | 713-697-9410
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | F4231
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License Number State | TX
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