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General NPI Number Information
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NPI Number | 1497944581
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Entity Type | Organization
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Legal Business Name | BELLAIRE CARDIOVASCULAR CARE PA
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 12112 BELLAIRE BLVD
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City | HOUSTON
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State | TX
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Zip | 77072-2315
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Country | US
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Telephone | 281-988-6462
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Fax | 281-988-7462
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Provider Business Mailing Address
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Address Line | 12112 BELLAIRE BLVD
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City | HOUSTON
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State | TX
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Zip | 77072-2315
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Country | US
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Telephone | 281-988-6462
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Fax | 281-988-7462
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LOI PHI NGUYEN
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Credential | MD
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Telephone | 281-988-6462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | H3275
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License Number State | TX
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