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General NPI Number Information
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NPI Number | 1659507267
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Entity Type | Organization
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Legal Business Name | V SAMAVEDI MD PA
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 4300 BAY AREA BLVD APT 3614
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City | HOUSTON
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State | TX
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Zip | 77058-1144
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Country | US
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Telephone | 281-979-9291
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Fax | 713-991-7955
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Provider Business Mailing Address
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Address Line | 4300 BAY AREA BLVD APT 3614
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City | HOUSTON
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State | TX
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Zip | 77058-1144
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Country | US
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Telephone | 281-979-9291
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Fax | 713-991-7955
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. GRACE GARCIA
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Credential |
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Telephone | 713-205-3305
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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 |
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License Number State |
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