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General NPI Number Information
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NPI Number | 1689290116
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Entity Type | Organization
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Legal Business Name | BELLAIRE ALLERGY & ASTHMA PLLC
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Dates
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Enumeration Date | 06/20/2020
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 6300 WEST LOOP S STE 180
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City | BELLAIRE
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State | TX
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Zip | 77401-2956
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Country | US
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Telephone | 713-364-6525
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Fax | 832-649-8690
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Provider Business Mailing Address
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Address Line | PO BOX 6503
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City | HOUSTON
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State | TX
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Zip | 77265-6503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JESSICA PHILIP RAJAN
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Credential | MD
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Telephone | 713-364-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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