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General NPI Number Information
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NPI Number | 1003839747
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Entity Type | Individual
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Provider Name | JAMAL MUBARAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 209 N. BONNIE BRAE STREET SUITE 300
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City | DENTON
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State | TX
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Zip | 76201-3708
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Country | US
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Telephone | 940-382-5864
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Fax | 940-382-3939
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Provider Business Mailing Address
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Address Line | 209 N BONNIE BRAE ST STE 300
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City | DENTON
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State | TX
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Zip | 76201-3749
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Country | US
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Telephone | 940-382-5864
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Fax | 940-382-3939
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K6658
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License Number State | TX
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