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General NPI Number Information
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NPI Number | 1457459513
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Entity Type | Individual
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Provider Name | ADNAN TRABULSI MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 11450 SPACE CENTER BLVD STE 100
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City | HOUSTON
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State | TX
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Zip | 77059-3642
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Country | US
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Telephone | 281-991-7000
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Fax | 281-991-7003
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Provider Business Mailing Address
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Address Line | 5411 SUMMER OAK DR
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City | PASADENA
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State | TX
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Zip | 77505-3026
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Country | US
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Telephone | 713-944-2324
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Fax | 713-944-1539
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L2704
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License Number State | TX
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