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General NPI Number Information
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NPI Number | 1447419353
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Entity Type | Organization
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Legal Business Name | FEDERAL DETENTION CENTER HOUSTON
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 1200 TEXAS AVE
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City | HOUSTON
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State | TX
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Zip | 77002
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Country | US
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Telephone | 713-221-5400
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Fax | 713-229-4208
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Provider Business Mailing Address
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Address Line | PO BOX 526245
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City | HOUSTON
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State | TX
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Zip | 77052-6245
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Country | US
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Telephone | 713-221-5400
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Fax | 713-229-4208
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Authorized Official
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Title or Position | HEALTH SERVICES ADMINISTRATION
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Name | MICHAEL WINKLMEIER
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Credential | RN
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Telephone | 713-221-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State | TX
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