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General NPI Number Information
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NPI Number | 1689389561
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Entity Type | Organization
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Legal Business Name | THE DEW MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 1505 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77077-1700
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Country | US
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Telephone | 346-620-0010
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Fax | 346-620-0018
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Provider Business Mailing Address
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Address Line | 1505 HIGHWAY 6 S STE 205
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City | HOUSTON
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State | TX
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Zip | 77077-1700
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Country | US
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Telephone | 346-620-0010
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | VALMY NGOMBA
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Credential | MD
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Telephone | 346-620-0010
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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 |
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License Number State |
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