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General NPI Number Information
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NPI Number | 1215142500
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Entity Type | Individual
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Provider Name | NILANJANA BOSE MD, MBA
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 11914 ASTORIA BLVD STE 355
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City | HOUSTON
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State | TX
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Zip | 77089-6076
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Country | US
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Telephone | 713-588-1674
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Fax | 713-554-2246
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Provider Business Mailing Address
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Address Line | 11914 ASTORIA BLVD STE 355
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City | HOUSTON
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State | TX
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Zip | 77089-6076
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Country | US
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Telephone | 713-588-1674
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Fax | 713-554-2246
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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 | 4301087531
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License Number State | MI
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