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General NPI Number Information
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NPI Number | 1003470618
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Entity Type | Organization
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Legal Business Name | HEALOGY GROUP PLLC
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 401 W CAMPBELL RD STE 300
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City | RICHARDSON
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State | TX
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Zip | 75080-3416
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Country | US
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Telephone | 888-806-1928
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Fax | 972-696-0096
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Provider Business Mailing Address
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Address Line | PO BOX 940174
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City | PLANO
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State | TX
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Zip | 75094-0174
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Country | US
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Telephone | 888-806-1928
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Fax | 972-696-0096
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Authorized Official
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Title or Position | OWNER
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Name | ASMA KHATOON
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Credential | MD
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Telephone | 888-806-1928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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