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General NPI Number Information
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NPI Number | 1508229394
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Entity Type | Organization
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Legal Business Name | FAME PEDIATRICS PA
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 11003 RESOURCE PKWY SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77089-6141
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Country | US
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Telephone | 713-955-7436
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Fax | 281-741-9475
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Provider Business Mailing Address
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Address Line | 11003 RESOURCE PKWY SUITE 105
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City | HOUSTON
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State | TX
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Zip | 77089-6141
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Country | US
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Telephone | 713-955-7436
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Fax | 281-741-9475
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Authorized Official
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Title or Position | AUTHORIZED REP/OWNER
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Name | MUHAMMAD FARRUKH NOOR
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Credential | MD
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Telephone | 713-955-7436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | TX
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