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General NPI Number Information
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NPI Number | 1104188234
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Entity Type | Individual
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Provider Name | MARINA G BISHAI D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 18200 KATY FWY
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City | HOUSTON
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State | TX
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Zip | 77094-1285
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Country | US
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Telephone | 832-227-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 BATES AVE # FC1860
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City | HOUSTON
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State | TX
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Zip | 77030-2698
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Country | US
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Telephone | 832-824-5447
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS13205
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS13205
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U0305
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License Number State | TX
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