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General NPI Number Information
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NPI Number | 1376706366
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Entity Type | Organization
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Legal Business Name | NEMA I UWAYDAH MD PA
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 2636 S LOOP W STE 501
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City | HOUSTON
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State | TX
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Zip | 77054-2758
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Country | US
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Telephone | 713-360-7053
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Fax | 832-581-3127
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Provider Business Mailing Address
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Address Line | 2636 S LOOP W STE 501
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City | HOUSTON
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State | TX
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Zip | 77054-2758
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Country | US
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Telephone | 713-360-7053
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Fax | 832-581-3127
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Authorized Official
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Title or Position | OWNER
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Name | NEMA I UWAYDAH
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Credential | MD
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Telephone | 806-236-4976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K8544
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License Number State | TX
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