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General NPI Number Information
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NPI Number | 1255641817
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Entity Type | Organization
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Legal Business Name | ASSOCIATED INTERNISTS OF HOUSTON PA
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 5090 RICHMOND AVE #530
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City | HOUSTON
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State | TX
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Zip | 77057-7402
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Country | US
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Telephone | 281-232-0297
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Fax | 281-341-7207
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Provider Business Mailing Address
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Address Line | 5090 RICHMOND AVE #530
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City | HOUSTON
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State | TX
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Zip | 77057-7402
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Country | US
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Telephone | 281-232-0297
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Fax | 281-341-7207
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Authorized Official
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Title or Position | CEO
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Name | DR. HUSSAMADDIN AL-KHADOUR
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Credential | M.D
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Telephone | 281-232-0297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L1257
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License Number State | TX
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