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General NPI Number Information
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NPI Number | 1720717622
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Entity Type | Organization
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Legal Business Name | COREVANT HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 1917 ASHLAND ST
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City | HOUSTON
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State | TX
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Zip | 77008
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Country | US
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Telephone | 346-477-4686
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Fax | 713-583-9591
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Provider Business Mailing Address
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Address Line | 2450 LOUISIANA ST STE 400
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City | HOUSTON
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State | TX
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Zip | 77006-2318
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Country | US
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Telephone | 346-477-4686
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Fax | 713-583-9591
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Authorized Official
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Title or Position | MEMBER
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Name | DR. PHILLIP ZACHARIAH
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Credential | MD
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Telephone | 346-477-4686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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