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General NPI Number Information
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NPI Number | 1558658195
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Entity Type | Individual
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Provider Name | CANDACE LEIGH POWELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2011
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 18220 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77070-4347
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Country | US
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Telephone | 281-222-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 3313 SEQUOIA LAKE TRL
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City | PEARLAND
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State | TX
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Zip | 77581-5681
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Country | US
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Telephone | 281-222-2364
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N9935
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License Number State | TX
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