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General NPI Number Information
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NPI Number | 1679758940
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Entity Type | Organization
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Legal Business Name | UT PHYSICIANS
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 6411 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-5301
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Fax | 713-500-0732
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Provider Business Mailing Address
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Address Line | PO BOX 200138
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City | HOUSTON
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State | TX
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Zip | 77216-0138
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Country | US
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Telephone | 713-500-5301
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Fax | 713-500-0732
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Authorized Official
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Title or Position | CHAIRMAN, PATHOLOGY DEPT
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Name | ROBERT HUNTER
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Credential | M.D.
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Telephone | 713-500-5301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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