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General NPI Number Information
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NPI Number | 1841130770
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Entity Type | Organization
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Legal Business Name | MUDITA WELLNESS
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 5220 FM 2920 RD STE 501
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City | SPRING
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State | TX
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Zip | 77388-3003
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Country | US
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Telephone | 716-909-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 23012 PAMPAS ST
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City | SPRING
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State | TX
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Zip | 77389-3548
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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 | DIRECTOR
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Name | MOHAMMAD HUSSAIN
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Credential |
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Telephone | 716-909-6965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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