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General NPI Number Information
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NPI Number | 1942792213
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Entity Type | Individual
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Provider Name | ELETHA FIELDS
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Gender | Female
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Dates
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Enumeration Date | 06/03/2018
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Last Update Date | 06/03/2018
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Provider Practice Location Address
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Address Line | 1631 NORTH LOOP W STE 460
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City | HOUSTON
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State | TX
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Zip | 77008-1548
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Country | US
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Telephone | 713-864-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2218 W VAN TREASE DR
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City | DEER PARK
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State | TX
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Zip | 77536-6064
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Country | US
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Telephone | 713-471-1801
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | G7868
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License Number State | TX
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