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General NPI Number Information
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NPI Number | 1801385869
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Entity Type | Individual
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Provider Name | MAHNAZ AHMED
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Gender | Female
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Dates
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Enumeration Date | 05/05/2018
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 415 W MAIN AVE
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City | ALTON
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State | TX
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Zip | 78573-1577
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Country | US
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Telephone | 956-424-6679
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Fax |
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Provider Business Mailing Address
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Address Line | 308 LARK AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2016
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Country | US
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Telephone | 956-900-1452
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | T3575
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License Number State | TX
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