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General NPI Number Information
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NPI Number | 1508981200
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Entity Type | Organization
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Legal Business Name | RHEUMATIC DISEASE CLINIC OF HOUSTON
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 4825 ALMEDA RD.
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City | HOUSTON
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State | TX
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Zip | 77004
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Country | US
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Telephone | 713-521-7865
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Fax | 713-521-7856
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Provider Business Mailing Address
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Address Line | 4825 ALMEDA RD.
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City | HOUSTON
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State | TX
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Zip | 77004
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Country | US
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Telephone | 713-521-7865
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Fax | 713-521-7856
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CARLOS DIAZ
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Credential |
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Telephone | 713-341-5939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F9937
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License Number State | TX
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