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General NPI Number Information
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NPI Number | 1114164951
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Entity Type | Organization
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Legal Business Name | BELLAIRE PULMONARY AND MEDICAL CLINIC
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 800 PEAKWOOD DR SUITE 7H
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City | HOUSTON
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State | TX
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Zip | 77090-2900
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Country | US
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Telephone | 713-666-6364
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Fax | 713-666-2001
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Provider Business Mailing Address
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Address Line | 4807 LOCUST ST
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City | BELLAIRE
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State | TX
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Zip | 77401-4022
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Country | US
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Telephone | 713-666-6364
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Fax | 713-666-2001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAKSHMIPRIYA KASIRAJAN
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Credential | M.D.
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Telephone | 713-666-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | L9760
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | L9760
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L9760
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License Number State | TX
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