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General NPI Number Information
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NPI Number | 1033279807
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Entity Type | Individual
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Provider Name | OMID ABBASSI M.D.-PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2225 COUNTY ROAD 90 SUITE 123
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City | PEARLAND
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State | TX
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Zip | 77584-4890
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Country | US
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Telephone | 281-412-6100
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Fax | 281-412-2423
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Provider Business Mailing Address
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Address Line | 7599 GARTH RD STE 700
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City | BAYTOWN
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State | TX
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Zip | 77521-7720
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Country | US
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Telephone | 281-412-6100
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Fax | 281-412-2423
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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 | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | J6293
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | J6293
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | J6293
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | J6293
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number | J6293
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License Number State | TX
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