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General NPI Number Information
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NPI Number | 1942990981
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Entity Type | Organization
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Legal Business Name | LAWD PLLC
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Dates
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Enumeration Date | 05/12/2023
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST STE 204
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 281-627-3112
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 IVANHOE ST
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City | HOUSTON
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State | TX
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Zip | 77027-4709
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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 | MD
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Name | GRACIA WYNNE DUNCAN
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Credential | MD
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Telephone | 281-627-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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