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General NPI Number Information
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NPI Number | 1699979252
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Entity Type | Individual
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Provider Name | LABIB MIKRAM GHULMIYYAH MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-0462
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Country | US
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Telephone | 409-772-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 2350 BAGBY ST APT 5310
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City | HOUSTON
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State | TX
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Zip | 77006-1784
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Country | US
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Telephone |
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine
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License Number | TP1-0024578
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License Number State | TX
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