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General NPI Number Information
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NPI Number | 1326201476
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE AMBULATORY SURGERY CENTER
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 1977 BUTLER BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4101
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Country | US
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Telephone | 713-798-2246
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Fax | 713-798-3383
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Provider Business Mailing Address
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Address Line | 1977 BUTLER BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4101
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Country | US
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Telephone | 713-798-2246
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Fax | 713-798-3383
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Authorized Official
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Title or Position | MANAGER, AMBULATORY SURGERY CENTER
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Name | MELINDA ELLER
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Credential | R.N.
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Telephone | 713-798-2246
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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 |
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License Number State | TX
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