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General NPI Number Information
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NPI Number | 1588846315
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Entity Type | Organization
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Legal Business Name | NORTHWEST HYPERBARIC SPECIALISTS PA
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 1917 ASHLAND ST
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City | HOUSTON
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State | TX
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Zip | 77008-3907
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Country | US
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Telephone | 713-861-6161
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 670626
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City | DALLAS
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State | TX
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Zip | 75267-0626
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Country | US
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Telephone | 713-802-9024
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Fax | 713-802-1868
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. ABDUL R ISHAQ
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Credential |
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Telephone | 832-876-6837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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