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General NPI Number Information
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NPI Number | 1780129171
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Entity Type | Organization
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Legal Business Name | LINVILLE AESTHETIC & RECONSTRUCTIVE SURGERY PLLC
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 12/21/2016
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Provider Practice Location Address
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Address Line | 7400 FANNIN ST STE 700C
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City | HOUSTON
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State | TX
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Zip | 77054-1920
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Country | US
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Telephone | 713-795-0161
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Fax | 713-795-0155
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Provider Business Mailing Address
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Address Line | 7400 FANNIN ST STE 700C
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City | HOUSTON
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State | TX
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Zip | 77054-1920
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Country | US
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Telephone | 713-795-0161
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Fax | 713-795-0155
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Authorized Official
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Title or Position | OWNER
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Name | CAIN R LINVILLE
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Credential | MD
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Telephone | 713-795-0161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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