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General NPI Number Information
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NPI Number | 1538233127
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP DEPT. OF ANESTHESIOLOGY
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-2860
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Fax |
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Provider Business Mailing Address
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Address Line | 2 E GREENWAY PLZ SUITE 900
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City | HOUSTON
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State | TX
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Zip | 77046-0297
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Country | US
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Telephone | 713-798-1835
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Fax | 713-798-1144
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOHN R. NICKENS
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Credential |
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Telephone | 713-798-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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