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General NPI Number Information
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NPI Number | 1649325200
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Entity Type | Organization
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Legal Business Name | VLADIMIR REDKO, M.D., P.A.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 915 GESSNER RD STE 970
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City | HOUSTON
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State | TX
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Zip | 77024-2663
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Country | US
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Telephone | 713-790-1400
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Fax | 713-790-1499
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD STE 970
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City | HOUSTON
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State | TX
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Zip | 77024-2663
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Country | US
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Telephone | 713-790-1400
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Fax | 713-790-1499
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. VLADIMIR REDKO
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Credential | M.D.
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Telephone | 713-790-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MDJ1366
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License Number State | TX
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