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General NPI Number Information
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NPI Number | 1659659118
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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 | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 6565 FANNIN ST NC-205
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-798-5913
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HERMANN MUSEUM CIRCLE DR 2315
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City | HOUSTON
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State | TX
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Zip | 77004-7788
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Country | US
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Telephone | 832-231-6661
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Fax |
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Authorized Official
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Title or Position | PROF
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Name | PROF. DOUGLAS KOCH
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Credential | M.D.
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Telephone | 713-240-4564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | BP10039756
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License Number State | TX
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