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General NPI Number Information
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NPI Number | 1891273819
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Entity Type | Organization
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Legal Business Name | NORTH HARRIS PHYSICIAN SERVICES GROUP
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 17400 RED OAK DR
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City | HOUSTON
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State | TX
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Zip | 77090-1246
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Country | US
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Telephone | 281-919-1855
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 73066
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City | HOUSTON
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State | TX
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Zip | 77273-3066
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Country | US
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Telephone | 281-919-1855
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Fax | 281-605-6641
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TAWANDA WHITE
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Credential |
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Telephone | 832-666-2926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 802884900
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License Number State | TX
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