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General NPI Number Information
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NPI Number | 1700896412
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Entity Type | Individual
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Provider Name | ALJ SPARROW M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 250 BLOSSOM ST SUITE 120
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City | WEBSTER
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State | TX
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Zip | 77598-4204
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Country | US
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Telephone | 281-404-3161
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Fax | 281-724-9485
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Provider Business Mailing Address
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Address Line | 2925 GULF FWY S SUITE B-110
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City | LEAGUE CITY
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State | TX
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Zip | 77573-6768
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Country | US
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Telephone | 832-477-0029
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | J7184
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License Number State | TX
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