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NPI 1619089166

NPI 1619089166 : DAALON BRAUNDRE ECHOLS M.D. : MANVEL, TX

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General NPI Number Information
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    NPI Number           |    1619089166
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    Entity Type          |    Individual 
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    Provider Name        |    DAALON BRAUNDRE ECHOLS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    12/10/2018
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Provider Practice Location Address
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    Address Line         |    3703 RAVEN CT 
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    City                 |    MANVEL
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    State                |    TX
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    Zip                  |    77578-3194
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    Country              |    US
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    Telephone            |    832-336-4443
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    Fax                  |    832-336-4443
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Provider Business Mailing Address
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    Address Line         |    3703 RAVEN CT 
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    City                 |    MANVEL
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    State                |    TX
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    Zip                  |    77578-3194
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    Country              |    US
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    Telephone            |    832-336-4443
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    Fax                  |    832-336-4443
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    M4049
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    License Number State |    TX
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