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General NPI Number Information
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NPI Number | 1790729481
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Entity Type | Organization
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Legal Business Name | CYNTHIA H. MORAN, PA
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11222 RICHMOND AVE SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77082-6662
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Country | US
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Telephone | 281-759-7814
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Fax | 281-759-7827
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Provider Business Mailing Address
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Address Line | 11222 RICHMOND AVE SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77082
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Country | US
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Telephone | 281-759-7814
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Fax | 281-759-7827
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. CYNTHIA H MORAN
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Credential | M.D.
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Telephone | 281-759-7814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | H3251
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License Number State | TX
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