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General NPI Number Information
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NPI Number | 1417516691
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Entity Type | Individual
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Provider Name | SHIRIN AMLANI DO
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 7616 BRANFORD PL
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City | SUGAR LAND
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State | TX
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Zip | 77479-3793
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Country | US
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Telephone | 678-849-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 IRON BROOK DR
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City | RICHMOND
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State | TX
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Zip | 77469-4057
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Country | US
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Telephone | 678-849-0395
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO.2554
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V3821
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License Number State | TX
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