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General NPI Number Information
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NPI Number | 1396017976
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Entity Type | Organization
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Legal Business Name | BABAK REJAIE MD PA
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 668 BUNKER HILL RD
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City | HOUSTON
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State | TX
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Zip | 77024-5119
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Country | US
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Telephone | 713-467-2313
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Fax | 281-616-6454
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Provider Business Mailing Address
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Address Line | 668 BUNKER HILL RD
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City | HOUSTON
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State | TX
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Zip | 77024-5119
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Country | US
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Telephone | 713-467-2313
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Fax | 281-616-6454
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. SHANNON WOBBE
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Credential |
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Telephone | 281-317-8103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | M7565
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License Number State | TX
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