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General NPI Number Information
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NPI Number | 1467561902
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Entity Type | Individual
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Provider Name | NITIN MAHAJAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 17070 RED OAK DR STE 305
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City | HOUSTON
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State | TX
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Zip | 77090-2616
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Country | US
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Telephone | 832-296-4203
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Fax | 832-823-0817
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Provider Business Mailing Address
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Address Line | 6700 WOODLANDS PKWY STE 230 BOX 465
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City | THE WOODLANDS
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State | TX
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Zip | 77382
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Country | US
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Telephone | 832-296-4203
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Fax | 832-823-0817
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q0122
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | Q0112
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License Number State | TX
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