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NPI 1689315913

NPI 1689315913 : ALANNA DOMINIQUE MEADOWS : BELLAIRE, TX

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General NPI Number Information
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    NPI Number           |    1689315913
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    Entity Type          |    Individual 
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    Provider Name        |    ALANNA DOMINIQUE MEADOWS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/01/2022
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    Last Update Date     |    05/19/2025
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Provider Practice Location Address
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    Address Line         |    6500 WEST LOOP S STE 200E 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77401-3535
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    Country              |    US
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    Telephone            |    713-486-1330
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    Fax                  |    713-871-0081
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Provider Business Mailing Address
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    Address Line         |    6702 ESTATE VIEW DR N 
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    City                 |    BLACKLICK
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    State                |    OH
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    Zip                  |    43004-8657
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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    |    
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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        |    2083B0002X
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    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
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    License Number       |    V7013
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207QA0505X
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    Taxonomy Name        |    Adult Medicine Physician
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    License Number       |    V7013
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    License Number State |    TX
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