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General NPI Number Information
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NPI Number | 1912943788
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Entity Type | Individual
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Provider Name | GHYASUDDIN SYED M.D
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 2802 GARTH RD SUITE # 109
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City | BAYTOWN
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State | TX
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Zip | 77521-3900
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Country | US
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Telephone | 281-422-5500
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Fax | 281-422-5560
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Provider Business Mailing Address
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Address Line | 4810 N PINE BROOK WAY
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City | HOUSTON
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State | TX
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Zip | 77059-3160
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Country | US
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Telephone | 281-422-5500
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Fax | 281-422-5560
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | L3493
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L3493
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License Number State | TX
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