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General NPI Number Information
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NPI Number | 1851800080
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Entity Type | Organization
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Legal Business Name | TEEKAM LOHANO, MD PA
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 2400 HIGHWAY 365 STE 107
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City | NEDERLAND
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State | TX
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Zip | 77627
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Country | US
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Telephone | 409-527-9800
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Fax | 409-527-9800
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Provider Business Mailing Address
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Address Line | 2400 HIGHWAY 365 STE 107
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City | NEDERLAND
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State | TX
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Zip | 77627-6268
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Country | US
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Telephone | 409-527-9800
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Fax | 409-527-9801
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. TEEKAM DAS LOHANO
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Credential | MD
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Telephone | 409-527-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | Q4181
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License Number State | TX
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