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General NPI Number Information
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NPI Number | 1275971145
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Entity Type | Individual
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Provider Name | RAYAN ABILMOUNA O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4899 GRIGGS RD STE A
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City | HOUSTON
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State | TX
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Zip | 77021-2855
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Country | US
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Telephone | 713-748-5000
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Fax | 713-748-8707
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Provider Business Mailing Address
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Address Line | 4899 GRIGGS RD A
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City | HOUSTON
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State | TX
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Zip | 77021
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Country | US
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Telephone | 713-748-5000
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Fax | 713-748-8707
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8189TG
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License Number State | TX
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