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General NPI Number Information
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NPI Number | 1578711495
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Entity Type | Individual
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Provider Name | DANIELLE D. ANTOSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST STE 2221
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-441-5800
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Fax | 713-791-5023
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Provider Business Mailing Address
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Address Line | 6560 FANNIN ST STE 2221
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-441-5800
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Fax | 713-791-5023
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD038023
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0069803
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | P1516
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License Number State | TX
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