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General NPI Number Information
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NPI Number | 1487641718
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Entity Type | Individual
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Provider Name | FATIMA IBRAHIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 174 S BAUER POINT CIR
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City | SPRING
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State | TX
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Zip | 77389-5326
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Country | US
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Telephone | 281-586-8800
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Fax | 827-586-8822
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Provider Business Mailing Address
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Address Line | PO BOX 132528
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City | SPRING
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State | TX
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Zip | 77393-2528
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Country | US
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Telephone | 713-876-8407
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | M1780
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | M1780
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License Number State | TX
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