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General NPI Number Information
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NPI Number | 1801976063
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Entity Type | Individual
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Provider Name | PANAGIOTIS KOUGIAS MD
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 12/31/2021
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 450 CLARKSON AVE MSC#59
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City | BROOKLYN
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State | NY
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Zip | 11203
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Country | US
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Telephone | 718-270-8880
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Fax |
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 0101235809
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License Number State | VA
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