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General NPI Number Information
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NPI Number | 1316291016
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Entity Type | Individual
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Provider Name | RUBEENA AYESHA NP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 5005 W 34TH ST STE 106C
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City | HOUSTON
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State | TX
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Zip | 77092-4200
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Country | US
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Telephone | 713-808-9701
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Fax | 832-667-8541
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Provider Business Mailing Address
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Address Line | 13280 TRAIL HOLLOW DR
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City | HOUSTON
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State | TX
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Zip | 77079-3748
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Country | US
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Telephone | 917-538-9431
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 827700
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License Number State | TX
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