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General NPI Number Information
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NPI Number | 1508280439
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Entity Type | Organization
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Legal Business Name | D & H HEALTHCARE PROFESSIONALS LLC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 13920 OSPREY CT SUITE C
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City | WEBSTER
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State | TX
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Zip | 77598-1615
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Country | US
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Telephone | 832-831-9861
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Fax | 832-204-4098
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Provider Business Mailing Address
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Address Line | 13920 OSPREY CT SUITE C
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City | WEBSTER
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State | TX
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Zip | 77598-1615
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Country | US
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Telephone | 832-831-9861
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID A FAIRWEATHER
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Credential | MD
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Telephone | 832-831-9861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | L7373
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License Number State | TX
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