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General NPI Number Information
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NPI Number | 1861604761
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Entity Type | Individual
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Provider Name | MAHESH PUNDIT MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 6565 WEST LOOP S STE 525
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City | BELLAIRE
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State | TX
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Zip | 77401-3519
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Country | US
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Telephone | 713-661-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 WEST LOOP S STE 525
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City | BELLAIRE
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State | TX
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Zip | 77401-3519
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Country | US
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Telephone | 713-661-7888
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | J5671
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | J5671
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License Number State | TX
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