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General NPI Number Information
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NPI Number | 1235051483
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Entity Type | Individual
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Provider Name | AYESHA TABASSUM DDS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 11391 VETERANS MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77067-3800
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Country | US
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Telephone | 832-446-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 ROOSEVELT BLVD
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City | KENNER
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State | LA
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Zip | 70065-3820
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 42571
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License Number State | TX
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