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General NPI Number Information
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NPI Number | 1902815749
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Entity Type | Organization
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Legal Business Name | PHYSICIANS ENDOSCOPY CENTER, LTD., LLP
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 3030 S GESSNER RD SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77063-3765
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Country | US
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Telephone | 713-587-0909
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Fax | 713-587-0912
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Provider Business Mailing Address
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Address Line | 3030 S GESSNER RD SUITE 150
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City | HOUSTON
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State | TX
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Zip | 77063-3765
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Country | US
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Telephone | 713-587-0909
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Fax | 713-587-0912
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NANCY HAN LE
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Credential | MHA
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Telephone | 713-587-0909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 007904
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License Number State | TX
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