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General NPI Number Information
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NPI Number | 1609202795
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Entity Type | Organization
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Legal Business Name | SPRING FAMILY PHYSICIANS PA
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 17200 STATE HIGHWAY 249 STE 100
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City | HOUSTON
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State | TX
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Zip | 77064-1184
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Country | US
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Telephone | 832-209-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 17200 STATE HIGHWAY 249 STE 100
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City | HOUSTON
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State | TX
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Zip | 77064-1184
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DEANN IVY
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Credential |
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Telephone | 832-289-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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