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General NPI Number Information
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NPI Number | 1689251597
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Entity Type | Organization
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Legal Business Name | HOMEDOC MEDICAL GROUP
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 603 SHARTLE CIR
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City | HOUSTON
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State | TX
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Zip | 77024-5521
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Country | US
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Telephone | 832-549-4395
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Fax |
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Provider Business Mailing Address
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Address Line | 603 SHARTLE CIR
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City | HOUSTON
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State | TX
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Zip | 77024-5521
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ZVI SCHIFFMAN
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Credential | MD
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Telephone | 832-549-4395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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