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General NPI Number Information
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NPI Number | 1275812877
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Entity Type | Organization
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Legal Business Name | BAYBROOK MEDICAL ASSOCIATES PA
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTER BLVD STE 102
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City | WEBSTER
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State | TX
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Zip | 77598-4224
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Country | US
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Telephone | 281-554-2846
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Fax | 281-557-7981
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Provider Business Mailing Address
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Address Line | PO BOX 57159
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City | WEBSTER
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State | TX
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Zip | 77598-7159
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Country | US
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Telephone | 281-554-2846
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Fax | 281-557-7981
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SADAF ANWAR
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Credential | M.D.
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Telephone | 713-922-0964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M0001
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License Number State | TX
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