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General NPI Number Information
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NPI Number | 1316272727
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Entity Type | Organization
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Legal Business Name | SHIRAZALI PLLC
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Dates
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Enumeration Date | 10/03/2009
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Last Update Date | 10/03/2009
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Provider Practice Location Address
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Address Line | 14406 AYERS ROCK RD SECOND FLOOR SUITE
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City | SUGAR LAND
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State | TX
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Zip | 77498-7596
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Country | US
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Telephone | 832-339-3652
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Fax |
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Provider Business Mailing Address
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Address Line | 14406 AYERS ROCK RD SECOND FLOOR SUITE
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City | SUGAR LAND
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State | TX
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Zip | 77498-7596
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | AZUL JAFFER
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Credential | MD
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Telephone | 832-339-3652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | N2128
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License Number State | TX
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