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General NPI Number Information
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NPI Number | 1932402617
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Entity Type | Organization
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Legal Business Name | MARK H. EDELMAN M.D., P.A.
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 9055 KATY FWY STE 304
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City | HOUSTON
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State | TX
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Zip | 77024-1630
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Country | US
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Telephone | 713-365-9990
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Fax | 713-365-9993
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Provider Business Mailing Address
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Address Line | 9055 KATY FWY STE 304
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City | HOUSTON
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State | TX
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Zip | 77024-1630
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Country | US
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Telephone | 713-365-9990
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Fax | 713-365-9993
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK H EDELMAN
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Credential | M.D.
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Telephone | 713-365-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | H6186
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License Number State | TX
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