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General NPI Number Information
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NPI Number | 1962638023
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Entity Type | Organization
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Legal Business Name | FAIRMONT INFUSION CENTER, PLLC
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 4001 PRESTON AVE SUITE 115
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City | PASADENA
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State | TX
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Zip | 77505-2069
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Country | US
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Telephone | 281-998-8109
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Fax | 281-487-0812
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Provider Business Mailing Address
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Address Line | PO BOX 5187
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City | PASADENA
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State | TX
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Zip | 77508-5187
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Country | US
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Telephone | 281-998-8109
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Fax | 281-487-0812
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. STEVEN A FEIN
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Credential | M.D.
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Telephone | 281-998-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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