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General NPI Number Information
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NPI Number | 1659681609
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Entity Type | Organization
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Legal Business Name | FARHINA KHAN IMTIAZ, M.D., P.A.
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 9533 HUFFMEISTER RD
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City | HOUSTON
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State | TX
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Zip | 77095-2856
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Country | US
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Telephone | 281-463-9100
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Fax | 281-463-6194
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Provider Business Mailing Address
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Address Line | 9533 HUFFMEISTER RD
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City | HOUSTON
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State | TX
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Zip | 77095-2856
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Country | US
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Telephone | 281-463-9100
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Fax | 281-463-6194
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Authorized Official
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Title or Position | OWNER
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Name | DR. FARHINA K IMTIAZ
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Credential | M.D.
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Telephone | 281-463-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | L0293
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License Number State | TX
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