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General NPI Number Information
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NPI Number | 1578522397
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Entity Type | Individual
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Provider Name | MARINA M PEARSALL M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2951 CHIMNEY ROCK RD SUITE A
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City | HOUSTON
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State | TX
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Zip | 77056-5924
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Country | US
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Telephone | 713-522-4037
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Fax | 713-787-6401
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Provider Business Mailing Address
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Address Line | 5349 VAL VERDE ST
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City | HOUSTON
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State | TX
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Zip | 77056-6220
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Country | US
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Telephone | 713-622-4127
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Fax | 713-787-6401
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K4523
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License Number State | TX
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