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General NPI Number Information
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NPI Number | 1447458690
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Entity Type | Organization
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Legal Business Name | FACE-FACIAL CENTER FOR PLASTIC SURGERY
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 7700 SAN FELIPE ST STE 420
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City | HOUSTON
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State | TX
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Zip | 77063-1614
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Country | US
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Telephone | 832-358-3223
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Fax | 832-358-3220
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Provider Business Mailing Address
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Address Line | 7700 SAN FELIPE ST STE 420
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City | HOUSTON
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State | TX
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Zip | 77063-1614
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Country | US
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Telephone | 832-358-3223
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Fax | 832-358-3220
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MICHELLE MORONES
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Credential | MA
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Telephone | 832-358-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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