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General NPI Number Information
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NPI Number | 1770722365
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Entity Type | Organization
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Legal Business Name | MOSTAGHIMI GROUP PLLC
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 02/05/2009
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Provider Practice Location Address
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Address Line | 23701 CINCO RANCH BLVD SUITE 170
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City | KATY
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State | TX
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Zip | 77494-3209
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Country | US
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Telephone | 281-347-3939
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Fax | 281-347-3940
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Provider Business Mailing Address
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Address Line | 23701 CINCO RANCH BLVD SUITE 170
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City | KATY
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State | TX
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Zip | 77494-3209
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Country | US
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Telephone | 281-347-3939
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Fax | 281-347-3940
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI MOSTAGHIMI
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Credential | O.D.
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Telephone | 281-347-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7092TG
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License Number State | TX
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