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General NPI Number Information
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NPI Number | 1720327182
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE TEEN HEALTH CLINIC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 2950 BROADWAY ST
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City | HOUSTON
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State | TX
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Zip | 77017-1706
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Country | US
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Telephone | 713-440-7313
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 LAWN ST
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City | HOUSTON
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State | TX
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Zip | 77088-6323
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Country | US
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Telephone | 281-850-2995
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Fax | 281-445-4796
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Authorized Official
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Title or Position | PROFESSOR DIRECTOR
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Name | PROF. PEGGY B SMITH
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Credential | PHD
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Telephone | 713-873-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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