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General NPI Number Information
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NPI Number | 1033513478
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY & ENT
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 4126 SOUTHWEST FWY SUITE 1210
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City | HOUSTON
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State | TX
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Zip | 77027-7310
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Country | US
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Telephone | 713-621-2556
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Fax | 832-538-1619
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Provider Business Mailing Address
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Address Line | 4126 SOUTHWEST FWY SUITE 1210
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City | HOUSTON
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State | TX
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Zip | 77027-7310
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Country | US
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Telephone | 713-621-2556
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Fax | 832-538-1619
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAJED IBRAHIM
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Credential |
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Telephone | 713-621-2556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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