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General NPI Number Information
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NPI Number | 1962877019
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Entity Type | Organization
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Legal Business Name | KIRON MEDICAL PLLC
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 6219 IRVINGTON BLVD SUITE A
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City | HOUSTON
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State | TX
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Zip | 77022-5951
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Country | US
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Telephone | 832-380-2580
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Fax | 832-380-2583
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Provider Business Mailing Address
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Address Line | PO BOX 2333
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City | BELLAIRE
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State | TX
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Zip | 77402-2333
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Country | US
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Telephone | 832-380-2580
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Fax | 832-380-2583
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SUN B NGUYEN
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Credential | M.D.
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Telephone | 832-380-2580
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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 | N3210
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N3210
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License Number State | TX
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