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General NPI Number Information
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NPI Number | 1285678458
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Entity Type | Organization
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Legal Business Name | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 6720 BERTNER ST
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-355-3862
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Fax | 832-355-7268
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Provider Business Mailing Address
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Address Line | 6720 BERTNER ST
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-355-3862
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Fax | 832-355-7268
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Authorized Official
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Title or Position | PRESIDENT, CHIEF EXECUTIVE OFFICER
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Name | ELIZABETH YOUNGBLOOD
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Credential |
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Telephone | 832-355-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 118
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License Number State | TX
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