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General NPI Number Information
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NPI Number | 1952188450
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Entity Type | Organization
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Legal Business Name | CONQUEST CENTERS
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 14902 CACTUS WREN DR
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City | TOMBALL
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State | TX
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Zip | 77377-3814
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Country | US
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Telephone | 832-374-4277
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Fax |
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Provider Business Mailing Address
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Address Line | 14902 CACTUS WREN DR
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City | TOMBALL
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State | TX
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Zip | 77377-3814
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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 | OWNER
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Name | MUHAMMAD HAARIS SHAHID
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Credential |
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Telephone | 225-436-9320
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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