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General NPI Number Information
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NPI Number | 1891973061
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Entity Type | Organization
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Legal Business Name | NAMIETA M. JANSSEN MD PLLC
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Dates
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Enumeration Date | 02/09/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 2225 WILLIAMS TRACE BLVD SUITE 110
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City | SUGAR LAND
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State | TX
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Zip | 77478-4513
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Country | US
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Telephone | 281-980-1742
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Fax | 281-980-1754
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Provider Business Mailing Address
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Address Line | PO BOX 25033
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City | HOUSTON
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State | TX
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Zip | 77265-5033
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Country | US
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Telephone | 281-980-1742
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NAMIETA M. JANSSEN
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Credential | MD
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Telephone | 281-980-1742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | H7619
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License Number State | TX
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