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General NPI Number Information
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NPI Number | 1487722849
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Entity Type | Organization
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Legal Business Name | ADVANCED AMBULATORY, INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 2211 NORFOLK #1110
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City | HOUSTON
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State | TX
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Zip | 77098
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Country | US
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Telephone | 713-528-9998
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Fax | 713-528-9996
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Provider Business Mailing Address
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Address Line | PO BOX 981047
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City | HOUSTON
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State | TX
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Zip | 77098-8047
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Country | US
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Telephone | 713-528-9998
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Fax | 713-528-9996
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT J. PUPELIS
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Credential |
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Telephone | 713-528-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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