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General NPI Number Information
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NPI Number | 1497110621
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Entity Type | Individual
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Provider Name | BAHAA AWADA
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Gender | Male
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 6624 FANNIN ST # 1630
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City | HOUSTON
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State | TX
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Zip | 77030-2312
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Country | US
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Telephone | 713-796-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 5721 GULFTON ST # 2501
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City | HOUSTON
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State | TX
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Zip | 77081-2692
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Country | US
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Telephone | 281-975-7676
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP127716
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License Number State | TX
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