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General NPI Number Information
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NPI Number | 1134123862
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Entity Type | Individual
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Provider Name | ALI AZIMPOOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 1140 BUSINESS CENTER DR SUITE 490
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City | HOUSTON
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State | TX
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Zip | 77043-2737
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Country | US
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Telephone | 713-932-1247
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Fax | 713-932-1887
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Provider Business Mailing Address
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Address Line | 1140 BUSINESS CENTER DR SUITE 490
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City | HOUSTON
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State | TX
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Zip | 77043-2737
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Country | US
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Telephone | 713-932-1247
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Fax | 713-932-1887
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E3846
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | E3846
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License Number State | TX
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