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General NPI Number Information
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NPI Number | 1801043567
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Entity Type | Organization
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Legal Business Name | UNITED DIAGNOSTIC INC.
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Dates
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Enumeration Date | 08/25/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 10500 FORUM PLACE DR SUITE 126
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City | HOUSTON
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State | TX
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Zip | 77036-8505
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Country | US
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Telephone | 713-995-4100
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Fax | 713-995-4103
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Provider Business Mailing Address
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Address Line | 10500 FORUM PLACE DR SUITE 126
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City | HOUSTON
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State | TX
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Zip | 77036-8505
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Country | US
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Telephone | 713-995-4100
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Fax | 713-995-4103
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. HRANT AVALYAN
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Credential |
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Telephone | 713-995-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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