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General NPI Number Information
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NPI Number | 1174470488
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Entity Type | Individual
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Provider Name | SAVANNA MALKI BOUZ RD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 2727 TRAVIS ST APT 537
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City | HOUSTON
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State | TX
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Zip | 77006-3587
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Country | US
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Telephone | 626-825-0059
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Fax |
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Provider Business Mailing Address
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Address Line | 645 TRAYER AVE
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City | GLENDORA
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State | CA
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Zip | 91741-1960
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Country | US
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Telephone | 626-825-0059
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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