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General NPI Number Information
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NPI Number | 1326389636
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Entity Type | Organization
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Legal Business Name | BAYLOR UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 9101 N CENTRAL EXPY SUITE 100
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City | DALLAS
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State | TX
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Zip | 75231-5927
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Country | US
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Telephone | 214-820-1606
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 N CENTRAL EXPY SUITE 100
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City | DALLAS
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State | TX
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Zip | 75231-5927
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Country | US
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Telephone | 214-820-1606
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | JAMES MCGEE
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Credential |
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Telephone | 214-820-7808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R02528
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License Number State | TX
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