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General NPI Number Information
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NPI Number | 1720380421
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Entity Type | Organization
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Legal Business Name | JERRI P SETHNA MD PA
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 17115 RED OAK DR SUITE 116
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City | HOUSTON
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State | TX
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Zip | 77090-2641
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Country | US
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Telephone | 281-397-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 17115 RED OAK DRIVE SUITE 116
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-397-0200
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | JERRI P SETHNA
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Credential | M.D.
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Telephone | 281-397-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H3523
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License Number State | TX
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