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General NPI Number Information
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NPI Number | 1841328341
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Entity Type | Individual
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Provider Name | JAN WILLEM LAURENS OOMS PT
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/10/2015
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Provider Practice Location Address
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Address Line | 4301 VISTA RD SUITE 104B
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City | PASADENA
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State | TX
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Zip | 77504-2117
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Country | US
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Telephone | 713-378-3320
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Fax | 832-925-7103
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Provider Business Mailing Address
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Address Line | 2211 RAYFORD RD SUITE 111, BOX 131
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City | SPRING
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State | TX
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Zip | 77386-1555
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Country | US
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Telephone | 281-719-0401
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Fax | 281-719-0401
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1140655
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License Number State | TX
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