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General NPI Number Information
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NPI Number | 1780960690
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Entity Type | Organization
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Legal Business Name | MEDISTOP CLINIC
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 6052 N FRY RD SUITE A
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City | KATY
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State | TX
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Zip | 77449-1882
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Country | US
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Telephone | 832-593-6600
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Fax | 832-593-6606
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Provider Business Mailing Address
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Address Line | PO BOX 941178
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City | HOUSTON
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State | TX
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Zip | 77094-8178
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Country | US
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Telephone | 832-766-1300
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Fax | 832-593-6606
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARSHAD UMER
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Credential | MD
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Telephone | 832-766-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K6944
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License Number State | TX
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