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General NPI Number Information
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NPI Number | 1770630568
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Entity Type | Individual
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Provider Name | ALFRED MANSOUR III MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 6400 FANNIN STREET SUITE 1700
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-486-1820
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Fax | 713-512-7240
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Provider Business Mailing Address
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Address Line | 6400 FANNIN STREET SUITE 1700
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-486-1820
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Fax | 713-512-7240
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 48719
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | P1565
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License Number State | TX
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