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General NPI Number Information
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NPI Number | 1447675798
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Entity Type | Organization
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Legal Business Name | CLINICA DR. MENDEZ, PLLC
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 7016 HARRISBURG BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-4655
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Country | US
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Telephone | 713-923-9850
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Fax | 713-923-9859
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Provider Business Mailing Address
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Address Line | 7016 HARRISBURG BLVD
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City | HOUSTON
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State | TX
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Zip | 77011-4655
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Country | US
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Telephone | 713-923-9850
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Fax | 713-923-9859
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Authorized Official
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Title or Position | MANAGER
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Name | EDNAH ROGERS
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Credential | RN
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Telephone | 713-923-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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