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General NPI Number Information
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NPI Number | 1467637108
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Entity Type | Organization
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Legal Business Name | VILLAR-LAMUG PEDIATRICS PA
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1610 JAMES BOWIE DR SUITE B103
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City | BAYTOWN
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State | TX
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Zip | 77520-3357
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Country | US
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Telephone | 281-422-3134
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Fax | 281-427-2811
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Provider Business Mailing Address
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Address Line | 1610 JAMES BOWIE DR SUITE B103
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City | BAYTOWN
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State | TX
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Zip | 77520-3357
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Country | US
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Telephone | 281-422-3134
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Fax | 281-427-2811
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARIETTA B LAMUG
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Credential | MD
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Telephone | 281-422-3134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K0234
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K0886
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License Number State | TX
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