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General NPI Number Information
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NPI Number | 1881472934
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Entity Type | Organization
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Legal Business Name | MBV PLLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 7575 SAN FELIPE ST STE 301
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City | HOUSTON
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State | TX
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Zip | 77063-1780
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Country | US
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Telephone | 281-909-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 9191 PINECROFT DR STE 100
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City | SHENANDOAH
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State | TX
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Zip | 77380-2797
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Country | US
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Telephone | 281-909-7722
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MARCIN NOBLE VACLAW
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Credential | DPM
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Telephone | 281-909-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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