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General NPI Number Information
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NPI Number | 1952937914
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Entity Type | Individual
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Provider Name | MICHAEL PETRUS-JONES DO
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Gender | Male
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 3925 FAIRMONT PKWY STE 100
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City | PASADENA
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State | TX
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Zip | 77504-3013
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Country | US
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Telephone | 128-148-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 FANNIN ST STE 1540
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City | HOUSTON
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State | TX
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Zip | 77030-2613
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Country | US
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Telephone | 832-824-1170
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Fax | 832-825-6497
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U1992
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License Number State | TX
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