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General NPI Number Information
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NPI Number | 1760795165
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Entity Type | Individual
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Provider Name | MUZNA ATIF ILYAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 22999 HIGHWAY 59 N STE 218
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City | KINGWOOD
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State | TX
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Zip | 77339-4440
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Country | US
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Telephone | 713-505-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 FANNIN ST STE NC100
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P7285
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | P7285
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License Number State | TX
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