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General NPI Number Information
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NPI Number | 1518722628
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Entity Type | Individual
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Provider Name | MARIAM MAHMOUD MOBARAK DC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 10123 LOUETTA RD STE B200
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City | HOUSTON
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State | TX
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Zip | 77070-2160
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Country | US
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Telephone | 832-843-6632
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Fax |
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Provider Business Mailing Address
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Address Line | 8136 ROSEMARY SAGE DR
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City | MAGNOLIA
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State | TX
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Zip | 77354-4150
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Country | US
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Telephone | 832-335-9990
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15944
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License Number State | TX
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