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General NPI Number Information
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NPI Number | 1568467579
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Entity Type | Organization
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Legal Business Name | DAVID T. NEMOTO M.D, P.A.
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 1446 CAMPBELL RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77055-4604
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Country | US
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Telephone | 713-467-2700
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Fax | 713-467-3308
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Provider Business Mailing Address
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Address Line | 1446 CAMPBELL RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77055-4604
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Country | US
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Telephone | 713-467-2700
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Fax | 713-467-3308
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID T NEMOTO
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Credential | M.D.
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Telephone | 713-467-2700
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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 | J9239
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License Number State | TX
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