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General NPI Number Information
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NPI Number | 1841756236
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Entity Type | Organization
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Legal Business Name | NIKKO DERMATOLOGY, PLLC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 4707 EIGEL ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77007-3417
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Country | US
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Telephone | 713-960-1311
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Fax | 713-960-1325
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Provider Business Mailing Address
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Address Line | 4707 EIGEL ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77007-3417
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Country | US
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Telephone | 713-960-1311
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Fax | 713-960-1325
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Authorized Official
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Title or Position | BILLING/CONTRACTING
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Name | MONIQUE GONZALEZ
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Credential |
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Telephone | 832-653-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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