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General NPI Number Information
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NPI Number | 1992817993
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH MUFFOLETTO MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 1110 NASA PKWY STE 307
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City | HOUSTON
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State | TX
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Zip | 77058-3345
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Country | US
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Telephone | 832-864-3047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 590647
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City | HOUSTON
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State | TX
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Zip | 77259-0647
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Country | US
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Telephone | 832-864-3407
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Fax | 281-335-5520
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | K9854
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | K9854
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License Number State | TX
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