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General NPI Number Information
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NPI Number | 1922776905
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Entity Type | Individual
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Provider Name | AHMAD LAHAM
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Gender | Male
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 8705 WEST LOOP S STE 400
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City | HOUSTON
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State | TX
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Zip | 77096-1730
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Country | US
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Telephone | 713-662-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 3222 FRESHMEADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77063-6232
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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 |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10404T
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License Number State | TX
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