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General NPI Number Information
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NPI Number | 1669704458
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Entity Type | Organization
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Legal Business Name | UNIHEALTH MEDICAL CLINIC, LLC
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 1334 PIN OAK RD
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City | KATY
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State | TX
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Zip | 77494-6849
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Country | US
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Telephone | 281-898-6515
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 PIN OAK RD
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City | KATY
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State | TX
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Zip | 77494-6849
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Country | US
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Telephone | 281-898-6515
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DAMEON TRYON
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Credential |
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Telephone | 713-498-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F6235
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License Number State | TX
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