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General NPI Number Information
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NPI Number | 1467646885
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Entity Type | Organization
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Legal Business Name | PHYSICIAN CARE & DIAGNOSTICS
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 9889 BELLAIRE BLVD STE 123
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City | HOUSTON
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State | TX
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Zip | 77036-3463
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Country | US
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Telephone | 713-988-9388
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Fax |
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Provider Business Mailing Address
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Address Line | 705 E HOUSTON ST
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City | CLEVELAND
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State | TX
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Zip | 77327-4630
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Country | US
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Telephone | 281-592-1115
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAFAEL DELAFLOR-WEISS
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Credential | M.D.
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Telephone | 281-592-1115
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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 | J4767
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License Number State | TX
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