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General NPI Number Information
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NPI Number | 1760762637
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Entity Type | Organization
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Legal Business Name | KANTACARE LLC
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 05/03/2020
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Provider Practice Location Address
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Address Line | 10490 HUFFMEISTER RD STE D
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City | HOUSTON
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State | TX
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Zip | 77065-5654
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Country | US
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Telephone | 281-477-7855
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Fax | 281-978-2135
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Provider Business Mailing Address
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Address Line | 10490 HUFFMEISTER RD SUITE D
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City | HOUSTON
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State | TX
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Zip | 77065-5653
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Country | US
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Telephone | 281-552-8368
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Fax | 281-978-2135
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIJAY CHANDULAL OZA
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Credential | MD
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Telephone | 281-477-7855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7320
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License Number State | TX
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