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General NPI Number Information
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NPI Number | 1679131858
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Entity Type | Organization
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Legal Business Name | NORTH HOUSTON CENTER FOR REPRODUCTIVE MEDICINE, PLLC
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 111 VISION PARK BLVD STE 110
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City | SHENANDOAH
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State | TX
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Zip | 77384-3003
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Country | US
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Telephone | 281-444-4784
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Fax | 281-444-0429
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Provider Business Mailing Address
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Address Line | 111 VISION PARK BLVD STE 110
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City | SHENANDOAH
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State | TX
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Zip | 77384-3003
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Country | US
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Telephone | 281-444-4784
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Fax | 281-444-0429
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LYNELL JAMES
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Credential |
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Telephone | 281-444-4784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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