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General NPI Number Information
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NPI Number | 1962023747
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Entity Type | Organization
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Legal Business Name | CHARLES A AMELEMAH SOLE MBR
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Dates
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Enumeration Date | 05/03/2020
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Last Update Date | 05/03/2020
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Provider Practice Location Address
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Address Line | 837 CYPRESS CREEK PKWY STE 105
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City | HOUSTON
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State | TX
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Zip | 77090-3422
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Country | US
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Telephone | 281-453-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 2443 FM 1488 RD APT 607
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City | CONROE
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State | TX
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Zip | 77384-4938
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Country | US
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Telephone | 832-960-7130
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Fax | 832-574-4762
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Authorized Official
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Title or Position | DR INTERNAL MEDICINE
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Name | CHARLES AMELEMAH
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Credential | MD
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Telephone | 914-573-9078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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