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General NPI Number Information
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NPI Number | 1811322126
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Entity Type | Organization
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Legal Business Name | ELLA HOSPITALIST PA
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2607 GALLION DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-1967
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Country | US
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Telephone | 281-221-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 2607 GALLION DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-1967
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Country | US
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Telephone | 281-221-1010
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Fax |
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | BONNIE VAN DE WATER
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Credential |
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Telephone | 602-569-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | N 3875
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License Number State | TX
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