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General NPI Number Information
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NPI Number | 1043201650
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Entity Type | Individual
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Provider Name | ABDUL Q MEMON M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 403 COACHMAN LN
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City | HOUSTON
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State | TX
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Zip | 77024-6401
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Country | US
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Telephone | 713-464-6104
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Fax | 713-464-3955
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Provider Business Mailing Address
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Address Line | P O BOX 73265
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City | HOUSTON
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State | TX
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Zip | 77273-3265
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Country | US
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Telephone | 281-580-9030
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Fax | 281-580-2725
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E9804
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | E9804
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License Number State | TX
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