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General NPI Number Information
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NPI Number | 1952590234
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Entity Type | Individual
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Provider Name | SAMINA AKHTAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 415 W MAIN AVE STE 1
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City | ALTON
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State | TX
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Zip | 78573-1578
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Country | US
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Telephone | 956-424-6679
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Fax | 956-424-6684
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Provider Business Mailing Address
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Address Line | 415 W MAIN AVE STE 1
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City | ALTON
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State | TX
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Zip | 78573-1578
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Country | US
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Telephone | 956-424-6679
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Fax | 956-424-6684
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K4844
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License Number State | TX
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