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General NPI Number Information
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NPI Number | 1952692014
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Entity Type | Individual
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Provider Name | MOHAMMAD ASHFAQUE MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 7103 S PEEK RD STE 220
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City | RICHMOND
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State | TX
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Zip | 77407-3504
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Country | US
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Telephone | 469-942-9937
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Fax | 469-902-2187
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Provider Business Mailing Address
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Address Line | 9476 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77083-6307
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Country | US
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Telephone | 469-942-9937
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Fax | 469-902-2187
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | T2109
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License Number State | TX
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