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General NPI Number Information
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NPI Number | 1578518056
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Entity Type | Individual
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Provider Name | SHIREEN AZEEMUDDIN DPT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 1977 BUTLER BLVD STE. E5.200, MS: NA102
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 713-798-3275
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Fax | 713-798-5078
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Provider Business Mailing Address
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Address Line | 3823 ST. MICHAELS CT
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City | SUGARLAND
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State | TX
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Zip | 77479
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1159888
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 1159888
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1159888
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License Number State | TX
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