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General NPI Number Information
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NPI Number | 1093534885
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Entity Type | Individual
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Provider Name | JARINA BEGUM
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Gender | Female
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 989 BLOSSOM RD
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City | ROCHESTER
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State | NY
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Zip | 14610-2251
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Country | US
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Telephone | 585-482-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 16317 BROOK FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77059-6501
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Country | US
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Telephone | 281-508-3896
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60-P130962-01
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License Number State | NY
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