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General NPI Number Information
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NPI Number | 1922834951
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Entity Type | Individual
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Provider Name | FATEMA MUSTAFA BIVIJI
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 27721 STATE HIGHWAY 249 STE 700
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City | TOMBALL
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State | TX
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Zip | 77375-6561
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Country | US
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Telephone | 281-417-3500
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Fax | 713-995-7199
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Provider Business Mailing Address
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Address Line | 3100 WALNUT BEND LN APT 216
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City | HOUSTON
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State | TX
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Zip | 77042-4772
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Country | US
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Telephone | 412-251-2928
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1258083
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License Number State | TX
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