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General NPI Number Information
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NPI Number | 1396604906
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Entity Type | Individual
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Provider Name | NEHA KIRU
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3030 E 29TH ST STE 111
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City | BRYAN
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State | TX
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Zip | 77802-2740
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Country | US
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Telephone | 979-774-4176
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Fax |
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Provider Business Mailing Address
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Address Line | 75 LAKESIDE CV
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1679
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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 |
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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 | 48967
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License Number State | TX
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