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General NPI Number Information
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NPI Number | 1265219216
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Entity Type | Individual
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Provider Name | MRS. BADRI TAVASOLIAN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 3317 ORLANDO ST #3
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City | HOUSTON
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State | TX
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Zip | 77093
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Country | US
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Telephone | 832-582-5770
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Fax | 713-497-5139
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Provider Business Mailing Address
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Address Line | 12462 MOOREDALE LN
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City | HOUSTON
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State | TX
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Zip | 77024
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Country | US
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Telephone | 832-498-9940
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Fax | 713-497-5139
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33881
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License Number State | TX
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