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General NPI Number Information
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NPI Number | 1902191273
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Entity Type | Organization
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Legal Business Name | MICHAEL J. STREITMANN, M.D., P.A.
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 5009 CAROLINE ST SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77004-5715
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Country | US
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Telephone | 713-667-4600
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Fax | 713-667-4609
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Provider Business Mailing Address
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Address Line | 5009 CAROLINE ST SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77004-5715
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Country | US
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Telephone | 713-667-4600
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Fax | 713-667-4609
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL JOSEPH STREITMANN
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Credential | M.D.
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Telephone | 713-667-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | J4545
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | J4545
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License Number State | TX
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