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General NPI Number Information
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NPI Number | 1881019099
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Entity Type | Organization
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Legal Business Name | PROMED DIAGNOSTIC SOLUTIONS
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 11322 BELLAIRE BLVD STE 117
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City | HOUSTON
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State | TX
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Zip | 77072-5700
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Country | US
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Telephone | 713-298-5676
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Fax | 877-335-0344
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Provider Business Mailing Address
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Address Line | 15518 VALLEY CREEK DR
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City | HOUSTON
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State | TX
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Zip | 77095-2776
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAI PHAM
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Credential |
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Telephone | 314-518-9456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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