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General NPI Number Information
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NPI Number | 1871786640
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Entity Type | Individual
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Provider Name | ALAN LO
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Gender | Male
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 9711 N SAM HOUSTON PKWY E
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City | HUMBLE
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State | TX
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Zip | 77396-4482
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Country | US
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Telephone | 281-441-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 26400 KUYKENDAHL RD STE C180-127
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City | TOMBALL
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State | TX
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Zip | 77375-2882
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Country | US
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Telephone | 703-493-0296
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT188131
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q4625
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License Number State | TX
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