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General NPI Number Information
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NPI Number | 1659308450
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Entity Type | Individual
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Provider Name | DANA FAYE MITCHELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 2525 NORTH LOOP W STE 600
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City | HOUSTON
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State | TX
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Zip | 77008-1094
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Country | US
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Telephone | 713-866-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 NORTH LOOP W STE 600
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City | HOUSTON
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State | TX
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Zip | 77008-1094
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Country | US
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Telephone | 713-866-6201
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 024951
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | M4361
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 00026053
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License Number State | AL
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