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General NPI Number Information
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NPI Number | 1649521402
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Entity Type | Organization
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Legal Business Name | WEST OAK HEALTH CLINIC, LLC
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 13111 WESTHEIMER RD SUITE #212
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City | HOUSTON
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State | TX
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Zip | 77077-5546
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Country | US
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Telephone | 832-230-3804
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Fax | 832-230-3839
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Provider Business Mailing Address
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Address Line | 13111 WESTHEIMER RD SUITE #212
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City | HOUSTON
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State | TX
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Zip | 77077-5546
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Country | US
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Telephone | 832-230-3804
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Fax | 832-230-3839
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Authorized Official
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Title or Position | MEMBER
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Name | ROBERT W BOARER
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Credential |
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Telephone | 281-509-2639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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