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General NPI Number Information
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NPI Number | 1649307380
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Entity Type | Organization
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Legal Business Name | HOUGH PEDIATRIC LLP
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 3023 PERRYTON PKWY 206
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City | PAMPA
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State | TX
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Zip | 79065-2821
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Country | US
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Telephone | 806-669-7200
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Fax | 806-669-7211
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Provider Business Mailing Address
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Address Line | 3023 PERRYTON PKWY 206
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City | PAMPA
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State | TX
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Zip | 79065-2821
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Country | US
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Telephone | 806-669-7200
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Fax | 806-669-7211
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. REBECCA L HOUGH
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Credential | MD
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Telephone | 806-669-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M2654
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License Number State | TX
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