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General NPI Number Information
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NPI Number | 1801521075
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Entity Type | Organization
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Legal Business Name | MATERNAL AND CHILD HEALTHCARE AND RESEARCH CENTER
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 14030 TELGE RD STE A
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City | CYPRESS
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State | TX
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Zip | 77429-6201
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Country | US
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Telephone | 832-260-9712
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Fax | 832-550-2263
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Provider Business Mailing Address
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Address Line | 14030 TELGE RD STE A
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City | CYPRESS
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State | TX
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Zip | 77429-6201
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Country | US
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Telephone | 832-260-9712
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Fax | 832-550-2263
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIA M ROJAS
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Credential | CMP
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Telephone | 832-260-9712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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