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General NPI Number Information
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NPI Number | 1346557279
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Entity Type | Individual
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Provider Name | FAIZ MAHMOODUDDIN
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 17207 DE CHIRICO CIR
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City | SPRING
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State | TX
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Zip | 77379-6269
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Country | US
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Telephone | 281-460-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 18652 MCKAY DR STE 100
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City | HUMBLE
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State | TX
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Zip | 77338-5716
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Country | US
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Telephone | 281-446-1520
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 319975
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2019024436
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E-12419
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME142168
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P5674
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License Number State | TX
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