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General NPI Number Information
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NPI Number | 1881981991
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Entity Type | Individual
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Provider Name | MELISSA SYDOW CHLADEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2011
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 6621 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2303
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Country | US
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Telephone | 713-516-1437
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 CHAMBOARD LN
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City | HOUSTON
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State | TX
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Zip | 77018-3101
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Country | US
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Telephone | 713-882-2935
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P2106
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | BP10034278
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License Number State | TX
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