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General NPI Number Information
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NPI Number | 1053352914
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ # 2GR900
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RICHARD C ALLISON III
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Credential |
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Telephone | 713-798-1746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170100000X
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Taxonomy Name | Ph.D. Medical Genetics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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