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General NPI Number Information
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NPI Number | 1265776660
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE WEIGHT LOSS INC.
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 5757 WESTHEIMER RD STE 100B
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City | HOUSTON
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State | TX
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Zip | 77057-5721
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Country | US
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Telephone | 281-232-0297
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Fax |
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Provider Business Mailing Address
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Address Line | 5757 WESTHEIMER RD STE 100B
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City | HOUSTON
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State | TX
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Zip | 77057-5721
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Country | US
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Telephone | 281-232-0297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED MAZEN SEIJARI
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Credential | LSA
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Telephone | 832-344-6916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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