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General NPI Number Information
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NPI Number | 1710506902
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Entity Type | Organization
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Legal Business Name | MIRWAT S. SAMI, MD PA
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 4747 BELLAIRE BLVD STE 347
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City | BELLAIRE
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State | TX
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Zip | 77401-4519
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Country | US
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Telephone | 713-668-1264
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Fax | 832-668-1264
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | BELLAIRE
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State | TX
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Zip | 77402-0309
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Country | US
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Telephone | 713-668-1264
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Fax | 832-280-3654
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Authorized Official
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Title or Position | CEO
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Name | MIRWAT SHEHZAD SAMI
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Credential | MD
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Telephone | 832-643-1587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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