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General NPI Number Information
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NPI Number | 1407212822
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Entity Type | Organization
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Legal Business Name | JIRIES SULEIMAN DAHU MD PA
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 14700 FM 2100 RD SUITE #2
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City | CROSBY
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State | TX
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Zip | 77532-9161
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Country | US
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Telephone | 281-942-8001
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Fax | 281-724-1919
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Provider Business Mailing Address
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Address Line | PO BOX 96665
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City | HOUSTON
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State | TX
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Zip | 77213-6665
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Country | US
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Telephone | 281-942-8001
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Fax | 281-724-1919
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Authorized Official
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Title or Position | OWNER
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Name | JIRIES SULEIMAN DAHU
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Credential | MD
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Telephone | 281-942-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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