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General NPI Number Information
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NPI Number | 1033449970
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Entity Type | Organization
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Legal Business Name | HOUSTON BAY AREA FERTILITY CENTER PA
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Dates
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Enumeration Date | 12/26/2009
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 9 PROFESSIONAL PARK DR SUITE C
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City | WEBSTER
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State | TX
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Zip | 77598-4142
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Country | US
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Telephone | 832-632-2653
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Fax | 832-632-2984
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Provider Business Mailing Address
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Address Line | PO BOX 57459
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City | WEBSTER
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State | TX
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Zip | 77598-7459
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Country | US
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Telephone | 832-632-2653
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Fax | 832-632-2984
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANUBAI NAGAMANI
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Credential | MD
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Telephone | 832-632-2653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State | TX
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