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General NPI Number Information
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NPI Number | 1780697383
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Entity Type | Individual
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Provider Name | CAROL WILLIS ECHOLS PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BOULEVARD, 2B-223 MICHAEL E. DEBAKEY VA MEDICAL CENTER (NEUROLOGY)
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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 | 713-794-7140
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Fax | 713-794-8044
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Provider Business Mailing Address
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Address Line | 16411 MAHOGANY DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-3916
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Country | US
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Telephone | 281-261-6148
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Fax | 281-261-2989
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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