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General NPI Number Information
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NPI Number | 1114944733
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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 | 07/17/2006
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 6620 MAIN ST SUITE 1325
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City | HOUSTON
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State | TX
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Zip | 77030-2348
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Country | US
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Telephone | 713-798-4001
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Fax | 713-798-5553
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Provider Business Mailing Address
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Address Line | P. O. BOX 4504
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City | HOUSTON
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State | TX
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Zip | 77210-4504
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Country | US
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Telephone | 713-798-4001
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Fax | 713-798-5553
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Authorized Official
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Title or Position | EXECUTIVE 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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | H1343
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License Number State | TX
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