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General NPI Number Information
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NPI Number | 1164681318
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Entity Type | Organization
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Legal Business Name | QAYYUM ENTERPRISES, LLC
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 10518 KIPP WAY SUITE B
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City | HOUSTON
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State | TX
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Zip | 77099-2400
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Country | US
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Telephone | 281-575-8414
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Fax | 281-575-1189
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Provider Business Mailing Address
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Address Line | 10518 KIPP WAY
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City | HOUSTON
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State | TX
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Zip | 77099-2400
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Country | US
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Telephone | 281-575-8414
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Fax | 281-575-1189
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Authorized Official
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Title or Position | CARDIOVASCULAR TECH/ PARTNER
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Name | MRS. MUJEEBUNNISA PARVEZ
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Credential | CARDIOVASCULAR TECH
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Telephone | 281-575-8414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XC2903X
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Taxonomy Name | Vascular Specialist/Technologist Cardiovascular
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License Number | 00066104
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License Number State | TX
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