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General NPI Number Information
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NPI Number | 1952760092
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Entity Type | Organization
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Legal Business Name | NORTHWEST HOUSTON SURGERY CENTER, LLC.
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 16100 CAIRNWAY DR STE 100
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City | HOUSTON
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State | TX
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Zip | 77084-3562
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Country | US
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Telephone | 562-712-0030
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840188
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City | HOUSTON
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State | TX
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Zip | 77284-0188
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Country | US
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Telephone | 562-712-0030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMAL ANAIM
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Credential |
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Telephone | 562-712-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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