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General NPI Number Information
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NPI Number | 1467024026
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Entity Type | Individual
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Provider Name | MELANIE MADELEINE J QUOILIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 1133 JOHN FREEMAN BLVD # 285A
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City | HOUSTON
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State | TX
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Zip | 77030-2809
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Country | US
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Telephone | 281-745-1517
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Fax | 713-486-0966
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Provider Business Mailing Address
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Address Line | 3819 BUFFALO SPEEDWAY APT 1308
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City | HOUSTON
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State | TX
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Zip | 77098-3716
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Country | US
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Telephone | 281-745-1517
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10074788
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | BP10074788
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License Number State | TX
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