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General NPI Number Information
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NPI Number | 1689742637
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Entity Type | Individual
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Provider Name | AISHA MIRZA MD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3925 FAIRMONT PKWY
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City | PASADENA
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State | TX
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Zip | 77504-3013
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Country | US
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Telephone | 713-873-6306
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 FANNIN ST STE 1540
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City | HOUSTON
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State | TX
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Zip | 77030-2613
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Country | US
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Telephone | 832-822-3440
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | S9036
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036-105960
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License Number State | IL
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