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General NPI Number Information
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NPI Number | 1720337793
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Entity Type | Organization
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Legal Business Name | PHYSICIAN ER LP
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 6191 E SAM HOUSTON PKWY N STE 200
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City | HOUSTON
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State | TX
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Zip | 77049-7201
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Country | US
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Telephone | 713-838-0800
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Fax | 713-838-0887
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Provider Business Mailing Address
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Address Line | 6750 WEST LOOP S STE 950
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City | BELLAIRE
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State | TX
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Zip | 77401-4103
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Country | US
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Telephone | 713-838-0800
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Fax | 713-838-0887
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Authorized Official
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Title or Position | PROCESS IMPROVEMENT MANAGER
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Name | MS. TAMMY T KERCHNER
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Credential |
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Telephone | 713-838-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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