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General NPI Number Information
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NPI Number | 1790970283
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Entity Type | Individual
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Provider Name | MAHINALSADAT HOSSAINI MD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2007
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 4501 GROVEWAY DR
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City | HOUSTON
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State | TX
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Zip | 77087-1122
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Country | US
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Telephone | 713-644-1568
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Fax | 713-644-1864
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Provider Business Mailing Address
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Address Line | 4201 INTERWAY PL
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City | ARLINGTON
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State | TX
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Zip | 76018-5668
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Country | US
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Telephone | 817-652-9192
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Fax | 817-652-9238
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N8193
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License Number State | TX
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