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General NPI Number Information
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NPI Number | 1982824272
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC CONSULTANTS OF HOUSTON
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR SUITE 436
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City | HOUSTON
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State | TX
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Zip | 77098-3900
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Country | US
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Telephone | 713-790-0867
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Fax | 713-526-4774
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Provider Business Mailing Address
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Address Line | 3701 KIRBY DR SUITE 436
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City | HOUSTON
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State | TX
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Zip | 77098-3900
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Country | US
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Telephone | 713-790-0867
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Fax | 713-526-4774
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. ROBERT ALAN FULFORD
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Credential | M.D.
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Telephone | 713-790-0867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E3553
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License Number State | TX
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