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General NPI Number Information
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NPI Number | 1770635864
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Entity Type | Organization
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Legal Business Name | BAYLOR COLLEGE OF MEDICINE, MEDICAL GENETICS LABS
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 1 BAYLOR PLZ MS: NAB 2015, ROOM 0280C
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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Country | US
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Telephone | 713-798-3295
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Fax | 713-798-4187
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Provider Business Mailing Address
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Address Line | PO BOX 4832
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City | HOUSTON
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State | TX
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Zip | 77210-4832
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Country | US
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Telephone | 713-798-3295
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Fax | 713-798-4187
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Authorized Official
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Title or Position | EXECUTIVE LABORATORY DIRECTOR
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Name | PROF. CHRISTINE M ENG
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Credential | M.D.
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Telephone | 713-798-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | TX
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