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General NPI Number Information
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NPI Number | 1437394293
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Entity Type | Individual
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Provider Name | FRIEDA K ABOUL-FOTOUH M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 2000 DAIRY ASHFORD
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City | HOUSTON
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State | TX
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Zip | 77077-3212
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Country | US
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Telephone | 713-396-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S DAIRY ASHFORD RD STE 340
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City | HOUSTON
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State | TX
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Zip | 77077-5700
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Country | US
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Telephone | 713-396-0106
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | BP10025916
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301099611
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License Number State | MI
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