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General NPI Number Information
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NPI Number | 1992787204
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Entity Type | Organization
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Legal Business Name | SLOAN GORDON DPM PA
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 7737 SOUTHWEST FWY STE 500
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City | HOUSTON
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State | TX
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Zip | 77074-1807
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Country | US
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Telephone | 713-988-6600
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Fax | 713-988-8850
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Provider Business Mailing Address
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Address Line | 7737 SOUTHWEST FWY STE 500
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City | HOUSTON
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State | TX
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Zip | 77074-1807
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Country | US
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Telephone | 713-988-6600
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Fax | 713-988-8850
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. ELAYNE GORDON
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Credential |
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Telephone | 713-988-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0803
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License Number State | TX
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