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General NPI Number Information
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NPI Number | 1619338183
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Entity Type | Organization
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Legal Business Name | SONIA P EAPEN MD, PA
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 8619 BROADWAY ST SUITE 202
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City | PEARLAND
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State | TX
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Zip | 77584-8782
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Country | US
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Telephone | 281-485-7200
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Fax | 281-485-7202
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Provider Business Mailing Address
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Address Line | 3231 OAK CLIFF LN
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4643
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Country | US
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Telephone | 281-485-7200
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Fax | 281-485-7202
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Authorized Official
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Title or Position | OWNER
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Name | DR. SONIA P EAPEN
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Credential | M.D
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Telephone | 281-485-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | N6589
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License Number State | TX
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