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General NPI Number Information
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NPI Number | 1952439283
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Entity Type | Organization
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Legal Business Name | VIP PEDIATRICS, P.A.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2727 GRAMERCY ST SUITE #225
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City | HOUSTON
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State | TX
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Zip | 77025-1617
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Country | US
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Telephone | 713-665-4567
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Fax | 713-665-8962
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Provider Business Mailing Address
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Address Line | 2727 GRAMERCY ST SUITE #225
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City | HOUSTON
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State | TX
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Zip | 77025-1617
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Country | US
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Telephone | 713-665-4567
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Fax | 713-665-8962
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEOFFREY K. WOLENS
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Credential | MD
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Telephone | 713-665-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K3536
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License Number State | TX
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