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General NPI Number Information
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NPI Number | 1063421303
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Entity Type | Individual
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Provider Name | BASTI J. THAMPOE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 7322 SOUTHWEST FWY SUITE 160
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City | HOUSTON
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State | TX
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Zip | 77074-2010
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Country | US
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Telephone | 713-532-6884
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Fax | 713-532-5756
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Provider Business Mailing Address
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Address Line | 705 S FRY RD STE 105
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City | KATY
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State | TX
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Zip | 77450-2252
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Country | US
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Telephone | 281-500-8176
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Fax | 281-500-8178
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M0288
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License Number State | TX
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