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General NPI Number Information
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NPI Number | 1730288721
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Entity Type | Individual
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Provider Name | ROBERT SOULE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 8307 KNIGHT RD
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City | HOUSTON
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State | TX
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Zip | 77054-3905
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Country | US
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Telephone | 713-242-7707
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Fax | 713-242-7752
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Provider Business Mailing Address
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Address Line | 8307 KNIGHT RD
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City | HOUSTON
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State | TX
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Zip | 77054-3905
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Country | US
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Telephone | 713-242-7707
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Fax | 713-242-7752
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | F4553
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | F4553
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F4553
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License Number State | TX
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