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General NPI Number Information
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NPI Number | 1679682223
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Entity Type | Individual
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Provider Name | ANDREEA SIMONA XAVIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 6431 FANNIN JJL 270A
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City | HOUSTON
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State | TX
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Zip | 77030-7703
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Country | US
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Telephone | 585-322-5736
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Fax | 434-982-7581
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Provider Business Mailing Address
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Address Line | 6431 FANNIN JJL 270A JJL 270A
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-704-9389
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Fax | 434-982-7752
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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 | 0101244083
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101244083
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License Number State | VA
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