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General NPI Number Information
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NPI Number | 1508079112
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Entity Type | Organization
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Legal Business Name | ALI F. AZIMPOOR, M.D., P.A.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/05/2011
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Provider Practice Location Address
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Address Line | 1140 BUSINESS CENTER DR SUITE 490
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City | HOUSTON
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State | TX
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Zip | 77043-2737
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Country | US
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Telephone | 713-932-1247
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Fax | 713-932-1887
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Provider Business Mailing Address
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Address Line | 1140 BUSINESS CENTER DR SUITE 490
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City | HOUSTON
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State | TX
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Zip | 77043-2737
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Country | US
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Telephone | 713-932-1247
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Fax | 713-932-1887
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI AZIMPOOR
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Credential | M.D.
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Telephone | 713-923-1247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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