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General NPI Number Information
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NPI Number | 1104070432
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE,DEPARTMENT OF ORTHOPEDIC SURGERY
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR
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City | HOUSTON
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State | TX
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Zip | 77098-3900
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Country | US
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Telephone | 713-798-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 203146
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City | HOUSTON
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State | TX
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Zip | 77216-3146
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Country | US
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Telephone | 713-986-6010
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Fax | 713-986-6221
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. MICHAEL H HEGGENESS
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Credential | M.D.
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Telephone | 713-986-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | H7753
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License Number State | TX
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