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General NPI Number Information
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NPI Number | 1508303231
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Entity Type | Organization
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Legal Business Name | HOUSTON METHODIST HOSPITAL
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 8231 POLARIS POINT LN
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City | CYPRESS
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State | TX
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Zip | 77433-2867
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Country | US
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Telephone | 832-215-3671
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Fax |
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Provider Business Mailing Address
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Address Line | 8231 POLARIS POINT LN
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City | CYPRESS
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State | TX
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Zip | 77433-2867
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Country | US
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Telephone | 832-215-3671
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MR. EMMANUEL TERHEMBA KAJOH
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Credential | FNP
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Telephone | 832-215-3671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | AP132866
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License Number State | TX
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