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General NPI Number Information
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NPI Number | 1710213350
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Entity Type | Organization
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Legal Business Name | SILVER STAR MEDICAL GROUP P A
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Dates
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Enumeration Date | 11/01/2009
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Last Update Date | 11/01/2009
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Provider Practice Location Address
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Address Line | 6892 SOUTHWEST FWY STE A-2
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City | HOUSTON
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State | TX
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Zip | 77074-2108
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Country | US
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Telephone | 713-785-5900
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Fax | 713-785-5269
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Provider Business Mailing Address
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Address Line | 6892 SOUTHWEST FWY STE A-2
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City | HOUSTON
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State | TX
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Zip | 77074-2108
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Country | US
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Telephone | 713-785-5900
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Fax | 713-785-5269
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GIAM NGUYEN
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Credential | D.O.
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Telephone | 713-785-5900
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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 | L9394
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License Number State | TX
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