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General NPI Number Information
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NPI Number | 1619324969
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Entity Type | Organization
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Legal Business Name | AR TEXAS PEDIATRICS, PLLC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 11914 ASTORIA BLVD STE 450
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City | HOUSTON
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State | TX
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Zip | 77089-6077
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Country | US
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Telephone | 281-484-7619
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Fax | 281-484-7632
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Provider Business Mailing Address
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Address Line | 11914 ASTORIA BLVD STE 450
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City | HOUSTON
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State | TX
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Zip | 77089-6077
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Country | US
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Telephone | 281-484-7619
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Fax | 281-484-7632
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Authorized Official
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Title or Position | MD/CEO
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Name | DR. ASEEMA RAOSHAN
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Credential | MD
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Telephone | 281-484-7619
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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 | P9942
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License Number State | TX
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