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General NPI Number Information
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NPI Number | 1770537441
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Entity Type | Individual
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Provider Name | JOHN TIMOTHY STOUT MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-526-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 FANNIN STREET, NC205 BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF OPHTHALMOLOGY
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-798-5951
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Fax | 713-798-4364
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | P8623
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License Number State | TX
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