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General NPI Number Information
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NPI Number | 1912086190
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PLUS CLINIC, PA
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 3919 FRY RD
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City | KATY
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State | TX
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Zip | 77449
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Country | US
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Telephone | 281-646-2273
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Fax | 281-646-9511
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Provider Business Mailing Address
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Address Line | 3919 FRY RD
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City | KATY
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State | TX
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Zip | 77449-6731
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Country | US
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Telephone | 281-646-2273
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Fax | 281-646-9511
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NANCY NAGHAVI
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Credential | DO
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Telephone | 281-646-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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