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General NPI Number Information
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NPI Number | 1811908700
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Entity Type | Individual
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Provider Name | FAISAL GHAZI BAKAEEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD MICHAEL E. DEBAKEY VA MEDICAL CENTER OCL 112
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-794-7892
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Fax |
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Provider Business Mailing Address
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Address Line | 2403 N MYSTIC MDW
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City | HOUSTON
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State | TX
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Zip | 77021-2256
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Country | US
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Telephone | 832-489-3202
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Fax |
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | M0008
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License Number State | TX
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