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General NPI Number Information
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NPI Number | 1699038901
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Entity Type | Organization
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Legal Business Name | THE METHODIST HOSPITAL SYSTEM
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 6565 FANNIN ST
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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 | 713-441-1577
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Fax |
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Provider Business Mailing Address
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Address Line | 8181 FANNIN ST APT 1825
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City | HOUSTON
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State | TX
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Zip | 77054-2984
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Country | US
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Telephone | 516-946-4737
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Fax |
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Authorized Official
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Title or Position | RESIDENT PHYSICIAN
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Name | EJAZ JANJUA
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Credential | D.O.
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Telephone | 516-946-4737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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