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General NPI Number Information
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NPI Number | 1689022170
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Entity Type | Organization
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Legal Business Name | CHARLES L METZGER MD PA
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 5420 WEST LOOP S SUITE 4300
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City | BELLAIRE
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State | TX
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Zip | 77401-2107
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Country | US
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Telephone | 713-333-9333
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Fax | 713-333-9343
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Provider Business Mailing Address
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Address Line | 5420 WEST LOOP S SUITE 4300
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City | BELLAIRE
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State | TX
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Zip | 77401-2107
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Country | US
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Telephone | 713-333-9333
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Fax | 713-333-9343
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Authorized Official
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Title or Position | BUSINESS AND BILLING MANAGER
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Name | TARSHIA TYSON-ALLEN
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Credential | MBA
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Telephone | 713-333-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | K4152
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License Number State | TX
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