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General NPI Number Information
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NPI Number | 1568444115
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Entity Type | Individual
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Provider Name | PHILIP S BLUM MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 915 GESSNER RD STE 750
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City | HOUSTON
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State | TX
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Zip | 77024-2574
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Country | US
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Telephone | 713-338-5616
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Fax | 713-704-3086
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD STE 750
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City | HOUSTON
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State | TX
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Zip | 77024-2574
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Country | US
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Telephone | 713-333-6900
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Fax | 713-333-6919
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | J8917
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | J8917
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License Number State | TX
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