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General NPI Number Information
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NPI Number | 1497840540
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Entity Type | Individual
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Provider Name | LINNIE REED TRAYLOR M.D
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 8302 FRONTENAC DR
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City | HOUSTON
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State | TX
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Zip | 77071-3660
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Country | US
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Telephone | 713-298-4844
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27495
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City | HOUSTON
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State | TX
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Zip | 77227-7495
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Country | US
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Telephone | 713-298-4844
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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 | M.D. 0000011058
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | G5992
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License Number State | TX
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