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General NPI Number Information
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NPI Number | 1770596736
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Entity Type | Individual
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Provider Name | GHASSAN A NOUREDDINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST STE 2321
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City | HOUSTON
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State | TX
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Zip | 77030-2723
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Country | US
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Telephone | 713-795-5155
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Fax | 713-795-5515
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Provider Business Mailing Address
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Address Line | PO BOX 973722
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City | DALLAS
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State | TX
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Zip | 75397-3722
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Country | US
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Telephone | 713-795-5155
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Fax | 713-795-5515
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | J9248
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | J9248
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License Number State | TX
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