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General NPI Number Information
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NPI Number | 1427657659
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Entity Type | Organization
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Legal Business Name | MIPCN, INC.
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 9305 HAMMERLY BLVD
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City | HOUSTON
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State | TX
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Zip | 77080-5413
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Country | US
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Telephone | 832-631-0197
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Fax | 713-583-5255
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Provider Business Mailing Address
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Address Line | 9305 HAMMERLY BLVD
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City | HOUSTON
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State | TX
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Zip | 77080-5413
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Country | US
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Telephone | 832-631-0197
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABEER SAQER
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Credential |
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Telephone | 832-631-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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