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General NPI Number Information
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NPI Number | 1831368562
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Entity Type | Organization
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Legal Business Name | HENRY N SMALL MD PA
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S
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City | BELLAIRE
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State | TX
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Zip | 77401-3500
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Country | US
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Telephone | 713-864-1506
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Fax | 713-864-6955
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Provider Business Mailing Address
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Address Line | 6565 WEST LOOP S
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City | BELLAIRE
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State | TX
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Zip | 77401-3500
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Country | US
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Telephone | 713-864-1506
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Fax | 713-864-6955
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Authorized Official
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Title or Position | OWNER
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Name | HENRY N SMALL
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Credential |
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Telephone | 713-864-1506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H3942
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License Number State | TX
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