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General NPI Number Information
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NPI Number | 1972780906
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Entity Type | Organization
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Legal Business Name | CLEAR LAKE INTERNAL MEDICINE CARE PA
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 709 MEDICAL CENTER DR. CORNERSTONE HOSPITAL
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City | WEBSTER
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State | TX
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Zip | 77598
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Country | US
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Telephone | 713-770-0691
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Fax | 281-220-8356
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Provider Business Mailing Address
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Address Line | PO BOX 891125
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City | HOUSTON
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State | TX
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Zip | 77289-1125
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Country | US
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Telephone | 713-770-0691
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FIROOZEH ROSE SAHEB KAR
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Credential | M.D.
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Telephone | 713-770-0691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K2581
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License Number State | TX
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