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General NPI Number Information
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NPI Number | 1679979132
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Entity Type | Organization
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Legal Business Name | AIDA KHANUM, MD, MPH, PLLC
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Dates
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Enumeration Date | 11/11/2014
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 5410 BELLAIRE BLVD STE D
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City | BELLAIRE
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State | TX
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Zip | 77401-3964
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Country | US
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Telephone | 713-669-1900
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Fax | 713-669-1988
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Provider Business Mailing Address
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Address Line | 5410 BELLAIRE BLVD STE D
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City | BELLAIRE
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State | TX
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Zip | 77401-3964
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Country | US
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Telephone | 713-669-1900
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Fax | 713-669-1988
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | AIDA ZARINA KHANUM
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Credential | MD
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Telephone | 713-669-1900
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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 | L9282
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License Number State | TX
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