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General NPI Number Information
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NPI Number | 1801381496
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Entity Type | Individual
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Provider Name | MARYAM MUBASHIR MD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3350 N GERMANTOWN RD
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City | BARTLETT
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State | TN
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Zip | 38133-4026
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Country | US
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Telephone | 901-377-2111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 381468
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City | GERMANTOWN
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State | TN
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Zip | 38183-1468
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 69679
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License Number State | TN
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