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General NPI Number Information
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NPI Number | 1851773956
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Entity Type | Individual
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Provider Name | TARAH SHEREEN TALAKOUB D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10907 MEMORIAL HERMANN DR STE 380
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City | PEARLAND
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State | TX
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Zip | 77584-4115
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Country | US
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Telephone | 713-413-8100
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Fax | 713-413-8101
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Provider Business Mailing Address
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Address Line | 12606 W HOUSTON CENTER BLVD STE 260
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City | HOUSTON
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State | TX
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Zip | 77082-2790
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Country | US
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Telephone | 713-596-8526
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Fax | 713-596-8560
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | T1861
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10053248
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | T1861
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License Number State | TX
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