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General NPI Number Information
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NPI Number | 1861631590
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Entity Type | Individual
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Provider Name | OMAR KASS-HOUT M.D., MPH
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Gender | Male
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 3000 N IH 35 STE 610
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City | AUSTIN
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State | TX
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Zip | 78705-1850
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Country | US
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Telephone | 512-681-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 N IH 35 STE 610
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City | AUSTIN
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State | TX
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Zip | 78705-1850
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Country | US
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Telephone | 212-681-5050
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2017-01736
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 270463
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | Q6855
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | Q6855
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License Number State | TX
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