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General NPI Number Information
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NPI Number | 1790496305
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Entity Type | Organization
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Legal Business Name | MY HEALTH CLINIC PLLC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 1400 BLALOCK RD STE I
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City | HOUSTON
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State | TX
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Zip | 77055-4470
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Country | US
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Telephone | 210-568-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BLALOCK RD STE I
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City | HOUSTON
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State | TX
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Zip | 77055-4470
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Country | US
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Telephone | 210-568-3747
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SABEEN ASLAM
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Credential | MD
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Telephone | 210-568-3747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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