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General NPI Number Information
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NPI Number | 1962698290
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Entity Type | Organization
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Legal Business Name | IWONA CIBA DPM PLLC
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 707 S FRY RD SUITE 285
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City | KATY
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State | TX
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Zip | 77450-2256
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Country | US
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Telephone | 281-395-9966
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Fax | 281-599-8596
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Provider Business Mailing Address
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Address Line | 9211 WEST RD SUITE 143-105
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City | HOUSTON
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State | TX
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Zip | 77064-8633
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Country | US
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Telephone | 281-395-9966
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Fax | 281-599-8596
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IWONA L CIBA
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Credential | D.P.M.
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Telephone | 281-395-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1427
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 1427
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 1427
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 1427
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License Number State | TX
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