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General NPI Number Information
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NPI Number | 1235853896
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Entity Type | Individual
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Provider Name | MOUNKAILA GARBA HAMZA DPT
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Gender | Male
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 3711 GARTH RD STE 100
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City | BAYTOWN
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State | TX
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Zip | 77521-3176
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Country | US
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Telephone | 281-487-2786
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Fax |
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Provider Business Mailing Address
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Address Line | 305 MINK DR
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City | ARABI
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State | LA
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Zip | 70032-2137
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Country | US
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Telephone | 716-909-4846
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | CP043987T
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License Number State | TX
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