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General NPI Number Information
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NPI Number | 1932616786
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Entity Type | Organization
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Legal Business Name | GEHLEN CLINIC
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 10970 SHADOW CREEK PKWY STE 220
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City | PEARLAND
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State | TX
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Zip | 77584-0102
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Country | US
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Telephone | 713-412-2821
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Fax |
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Provider Business Mailing Address
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Address Line | 63 SUNSET PARK LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-2742
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MAURICE EKECHI AKUCHIE
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Credential | MD
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Telephone | 713-412-2821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number | M2528
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | M2528
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License Number State | TX
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