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General NPI Number Information
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NPI Number | 1508269721
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Entity Type | Organization
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Legal Business Name | METROPOLITAN HEALTH AND WELLNESS CENTER
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 5959 LONG DR SUITE H
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City | HOUSTON
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State | TX
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Zip | 77087-1000
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Country | US
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Telephone | 713-242-0600
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Fax | 713-242-0613
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Provider Business Mailing Address
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Address Line | 5959 LONG DR SUITE H
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City | HOUSTON
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State | TX
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Zip | 77087-1000
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Country | US
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Telephone | 713-242-0600
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Fax | 713-242-0613
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Authorized Official
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Title or Position | CEO
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Name | CHERRIE IRVING
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Credential |
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Telephone | 832-322-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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