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General NPI Number Information
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NPI Number | 1306809918
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Entity Type | Individual
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Provider Name | MARK V MAZZIOTTI MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 6621 FANNIN ST CC650 00
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City | HOUSTON
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State | TX
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Zip | 77030-2303
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Country | US
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Telephone | 832-822-3135
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Fax | 832-825-3141
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Provider Business Mailing Address
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Address Line | 2 GREENWAY PLAZA SUITE 910
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City | HOUSTON
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State | TX
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Zip | 77046
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Country | US
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Telephone | 713-798-1750
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Fax | 713-798-1144
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | L2453
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | MED-PHYS-LIC-100462
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 30540
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 75493
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License Number State | AZ
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