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General NPI Number Information
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NPI Number | 1225127392
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Entity Type | Individual
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Provider Name | RUKSHAN AZHAR M.D
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 2802 GARTH RD SUITE 105
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City | BAYTOWN
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State | TX
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Zip | 77521-3900
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Country | US
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Telephone | 281-428-7997
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Fax | 281-428-0937
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Provider Business Mailing Address
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Address Line | 15315 COASTAL OAK CT
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City | HOUSTON
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State | TX
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Zip | 77059-6443
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Country | US
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Telephone | 281-488-8771
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | J7894
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | J7894
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License Number State | TX
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