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General NPI Number Information
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NPI Number | 1073758116
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Entity Type | Organization
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Legal Business Name | M JAMSHIDI DO PLLC
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 12606 W HOUSTON CENTER BLVD SUITE 230
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City | HOUSTON
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State | TX
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Zip | 77082-2784
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Country | US
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Telephone | 281-496-0121
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Fax |
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Provider Business Mailing Address
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Address Line | 14815 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-5016
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | D.O.
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Name | MOHAMMAD JAMSHIDI-NEZHAD
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Credential |
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Telephone | 281-496-0121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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