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General NPI Number Information
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NPI Number | 1649899451
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Entity Type | Individual
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Provider Name | SHIRIN JAMAL OMIDI MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2020
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST STE 1014
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City | HOUSTON
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State | TX
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Zip | 77030-5301
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Country | US
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Telephone | 832-325-7080
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Fax | 713-512-2239
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Provider Business Mailing Address
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Address Line | 6410 FANNIN ST STE 1014
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City | HOUSTON
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State | TX
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Zip | 77030-5301
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Country | US
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Telephone | 507-284-2511
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | W0188
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 76231
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | W0188
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License Number State | TX
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