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General NPI Number Information
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NPI Number | 1629283270
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Entity Type | Organization
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Legal Business Name | MARY ANGELA KNAUSS MD PA
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/14/2007
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Provider Practice Location Address
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Address Line | 2800 BROADWAY ST SUITE H
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City | PEARLAND
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State | TX
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Zip | 77581-9502
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Country | US
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Telephone | 281-485-9533
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Fax | 281-485-8234
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Provider Business Mailing Address
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Address Line | PO BOX 1256
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City | PEARLAND
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State | TX
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Zip | 77588-1256
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Country | US
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Telephone | 281-485-9533
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Fax | 281-485-8234
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARY ANGELA KNAUSS
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Credential | MD
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Telephone | 281-485-9533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H5182
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License Number State | TX
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