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General NPI Number Information
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NPI Number | 1598779555
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Entity Type | Organization
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Legal Business Name | GENERAL INFECTIOUS DISEASE ASSOCIATES
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 3808 WOODLAWN AVE
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City | PASADENA
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State | TX
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Zip | 77504-1933
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Country | US
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Telephone | 713-412-2821
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Fax | 281-993-4453
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Provider Business Mailing Address
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Address Line | 3808 WOODLAWN AVE
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City | PASADENA
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State | TX
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Zip | 77504-1933
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Country | US
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Telephone | 713-412-2821
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Fax | 281-993-4453
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MAURICE AKUCHIE
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Credential | M.D.
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Telephone | 713-412-2821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | M2528
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License Number State | TX
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