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General NPI Number Information
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NPI Number | 1841690740
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Entity Type | Organization
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Legal Business Name | CHI ST LUKE'S HEALTH BAYLOR ST. LUKE'S MEDICAL CENTER
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 6720 BERTNER STREET MC 4-278 BOX 112
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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 | 832-355-4190
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | HOUSTON
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State | TX
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Zip | 77001-0112
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Country | US
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Telephone | 832-355-4190
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MISS JOSEPHINE G REJANTE
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Credential | FNPC
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Telephone | 832-355-4190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 559930
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License Number State | TX
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