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General NPI Number Information
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NPI Number | 1841401502
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Entity Type | Organization
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Legal Business Name | ABDUL Q MEMON, M.D. & ASSOCIATE
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 403 COACHMAN LN
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City | HOUSTON
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State | TX
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Zip | 77024-6401
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Country | US
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Telephone | 281-580-9030
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Fax | 281-580-2725
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Provider Business Mailing Address
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Address Line | PO BOX 73265
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City | HOUSTON
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State | TX
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Zip | 77273-3265
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Country | US
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Telephone | 281-580-9030
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Fax | 281-580-2725
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PARVIN ELAVIA
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Credential |
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Telephone | 281-580-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E9804
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License Number State | TX
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