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General NPI Number Information
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NPI Number | 1104015528
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Entity Type | Organization
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Legal Business Name | OUTSOURCE 4 SURE INC.
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 12638 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77099-1397
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Country | US
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Telephone | 281-879-5222
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Fax | 281-879-5333
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Provider Business Mailing Address
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Address Line | 12638 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77099-1397
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Country | US
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Telephone | 281-879-5222
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Fax | 281-879-5333
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. AIJAZ HUSSAIN
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Credential |
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Telephone | 281-879-5222
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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 | L0722
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License Number State | TX
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