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General NPI Number Information
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NPI Number | 1811265770
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Entity Type | Organization
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Legal Business Name | CY FAIR PEDIATRICS PA
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 10680 JONES RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77065-5594
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Country | US
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Telephone | 281-894-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 10680 JONES RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77065-5594
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Country | US
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Telephone | 281-894-3100
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC PHYSICIAN
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Name | DR. JANIE THAO DOAN
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Credential | M.D.
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Telephone | 832-573-9492
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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 | P1541
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License Number State | TX
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