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General NPI Number Information
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NPI Number | 1710221304
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Entity Type | Individual
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Provider Name | GISSELLE PEREZ-MILICUA M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 HEPBURN ST APT 605
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City | HOUSTON
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State | TX
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Zip | 77054-3218
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | BP10042989
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | Q8328
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | Q8328
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License Number State | TX
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