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General NPI Number Information
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NPI Number | 1710025515
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Entity Type | Individual
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Provider Name | IZZELDEEN BABIKER ELHAGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 5814 FLAGSTONE PASS CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-4473
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Country | US
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Telephone | 267-307-7251
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Fax | 281-429-3657
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Provider Business Mailing Address
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Address Line | 5814 FLAGSTONE PASS CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-4473
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Country | US
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Telephone | 267-307-7251
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Fax | 281-429-3657
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N8002
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License Number State | TX
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