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General NPI Number Information
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NPI Number | 1043772148
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Entity Type | Individual
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Provider Name | POOJA PRABHAKAR
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Gender | Female
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 14090 SOUTHWEST FWY STE 130
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City | SUGAR LAND
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State | TX
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Zip | 77478-3683
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Country | US
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Telephone | 281-491-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 7200 CAMBRIDGE ST STE 10A
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 713-986-6016
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | V0513
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | V0513
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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