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General NPI Number Information
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NPI Number | 1649894213
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Entity Type | Individual
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Provider Name | MARRIYAM JAWAD MD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2020
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 23330 HWY 59 N STE 300
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City | KINGWOOD
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State | TX
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Zip | 77339-4471
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Country | US
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Telephone | 281-359-3223
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Fax | 281-359-2089
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Provider Business Mailing Address
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Address Line | 23330 HWY 59 N STE 300
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City | KINGWOOD
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State | TX
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Zip | 77339-4471
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Country | US
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Telephone | 281-359-3223
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Fax | 281-359-2089
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | U9982
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License Number State | TX
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