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General NPI Number Information
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NPI Number | 1659514131
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Entity Type | Individual
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Provider Name | MAHBOOBEH MAHDAVINIA
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Gender | Female
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 6410 FANNIN ST STE 720
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City | HOUSTON
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State | TX
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Zip | 77030-5205
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Country | US
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Telephone | 713-486-0340
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-6838
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | V0033
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License Number State | TX
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