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General NPI Number Information
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NPI Number | 1164807624
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Entity Type | Organization
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Legal Business Name | BEN TAUB GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-2794
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 GARDEN GLEN LN
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City | PEARLAND
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State | TX
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Zip | 77581-6559
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Country | US
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Telephone | 281-997-1239
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Fax |
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Authorized Official
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Title or Position | CHIEF OF NEUROSURGERY
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Name | DR. SHANKAR P GOPINATH
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Credential | M.D
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Telephone | 713-873-2794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AP127878
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License Number State | TX
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