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General NPI Number Information
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NPI Number | 1710986294
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Entity Type | Individual
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Provider Name | WASEEM PERACHA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 12051 WESTPARK DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77082-5556
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Country | US
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Telephone | 281-558-8260
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Fax | 281-531-8087
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Provider Business Mailing Address
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Address Line | 11152 WESTHEIMER RD 702
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City | HOUSTON
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State | TX
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Zip | 77042-3208
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Country | US
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Telephone | 281-558-8260
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Fax | 281-531-8087
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | L0902
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License Number State | TX
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