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General NPI Number Information
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NPI Number | 1457608176
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Entity Type | Organization
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Legal Business Name | DUNAMIS HEALTH SERVICES
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 10103 FONDREN RD
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City | HOUSTON
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State | TX
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Zip | 77096-4556
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Country | US
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Telephone | 832-390-6222
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Fax | 713-988-9700
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Provider Business Mailing Address
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Address Line | 10103 FONDREN RD
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City | HOUSTON
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State | TX
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Zip | 77096-4556
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Country | US
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Telephone | 832-390-6222
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Fax | 713-988-9700
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. PHINA O WEARY
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Credential | 06/25/1964
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Telephone | 713-541-0536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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