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General NPI Number Information
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NPI Number | 1952443749
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Entity Type | Individual
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Provider Name | WENDELL JOSEPH PAYNE RPH
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11777 KATY FWY STE 270
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City | HOUSTON
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State | TX
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Zip | 77079-1784
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Country | US
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Telephone | 281-597-1010
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Fax | 281-597-0015
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Provider Business Mailing Address
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Address Line | 5926 ARDMORE ST
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City | HOUSTON
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State | TX
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Zip | 77021-1070
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Country | US
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Telephone | 713-748-0010
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 35938
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License Number State | TX
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