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General NPI Number Information
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NPI Number | 1588194484
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Entity Type | Organization
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Legal Business Name | AFFECTIONATE HEART INC
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 06/14/2017
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Provider Practice Location Address
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Address Line | 11104 W AIRPORT BLVD STE 141
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City | STAFFORD
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State | TX
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Zip | 77477-3040
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Country | US
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Telephone | 12817622339
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Fax |
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Provider Business Mailing Address
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Address Line | 11104 W AIRPORT BLVD STE 141
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City | STAFFORD
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State | TX
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Zip | 77477-3040
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Country | US
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Telephone | 12817622339
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RAZAK OKUNEYE
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Credential |
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Telephone | 281-762-2339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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