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General NPI Number Information
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NPI Number | 1881804540
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Entity Type | Individual
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Provider Name | JAMIR ENCARNACION MIRELES MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 1219 BLACKBERRY HOLLOW DR
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City | HOUSTON
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State | TX
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Zip | 77073-5605
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Country | US
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Telephone | 281-821-2033
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Fax | 281-821-2033
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Provider Business Mailing Address
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Address Line | 5231 NORTH FWY
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City | HOUSTON
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State | TX
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Zip | 77022-1730
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Country | US
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Telephone | 713-694-2300
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Fax | 713-694-2303
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00047482
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M7436
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License Number State | TX
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