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General NPI Number Information
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NPI Number | 1487005146
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Entity Type | Individual
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Provider Name | ELENA THAMPY CHERIAN MBBS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 11476 SPACE CENTER BLVD STE 100
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City | HOUSTON
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State | TX
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Zip | 77059-3656
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Country | US
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Telephone | 713-486-6325
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Fax | 713-486-6324
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST STE MSB 5104
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-6643
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Fax | 713-500-6647
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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 | BP10056625
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T1036
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License Number State | TX
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