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General NPI Number Information
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NPI Number | 1912128794
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Entity Type | Individual
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Provider Name | MARYFRANCES MUSSO D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 6701 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2608
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Country | US
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Telephone | 832-824-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 FANNIN ST SUITE 1701 ATT RENEE BROWN
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-798-8291
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Fax | 713-798-5294
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | P0259
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 5101016589
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License Number State | MI
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