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General NPI Number Information
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NPI Number | 1700421906
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Entity Type | Organization
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Legal Business Name | BAYTOWN MEDICAL CENTER, LP
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 12/06/2019
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Provider Practice Location Address
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Address Line | 6051 GARTH RD STE 100
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City | BAYTOWN
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State | TX
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Zip | 77521-9891
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Country | US
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Telephone | 832-695-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1668 DEPT 302
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City | HOUSTON
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State | TX
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Zip | 77251-1668
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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 | SENIOR VICE PRESIDENT
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Name | MR. SOURABH SANDUJA
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Credential |
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Telephone | 281-837-7600
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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 |
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License Number State |
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