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General NPI Number Information
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NPI Number | 1710142880
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Entity Type | Individual
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Provider Name | TUERE SARAN COULTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 12568 BROADWAY ST STE 160
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City | PEARLAND
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State | TX
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Zip | 77584-8948
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Country | US
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Telephone | 832-619-1669
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Fax | 760-267-9223
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Provider Business Mailing Address
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Address Line | 12568 BROADWAY ST STE 160
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City | PEARLAND
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State | TX
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Zip | 77584-8948
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Country | US
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Telephone | 832-619-1669
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Fax | 760-267-9223
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.125545
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10028672
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N6235
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License Number State | TX
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