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NPI 1972855260

NPI 1972855260 : NOUR MEDICAL PC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1972855260
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOUR MEDICAL PC 
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Dates
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    Enumeration Date     |    10/10/2012
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    Last Update Date     |    10/10/2012
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Provider Practice Location Address
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    Address Line         |    2418 NANTUCKET DR UNIT C 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-4806
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    Country              |    US
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    Telephone            |    713-478-9647
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2418 NANTUCKET DR UNIT C 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77057-4806
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    Country              |    US
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    Telephone            |    713-478-9647
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     AKBAR  AMIRAFSHARI 
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    Credential           |    MD
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    Telephone            |    713-478-9647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    N7389
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    License Number State |    TX
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