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General NPI Number Information
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NPI Number | 1740416924
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Entity Type | Organization
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Legal Business Name | FAIRMONT ENDOSCOPY CENTER
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 4001 PRESTON AVE STE 125
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City | PASADENA
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State | TX
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Zip | 77505-2051
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Country | US
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Telephone | 713-946-9513
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Fax | 713-946-7210
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Provider Business Mailing Address
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Address Line | 4001 PRESTON AVE STE 125
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City | PASADENA
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State | TX
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Zip | 77505-2051
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Country | US
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Telephone | 713-946-9513
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Fax | 713-946-7210
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. STEVEN ALAN FEIN
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Credential | M.D.
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Telephone | 713-946-9513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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