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General NPI Number Information
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NPI Number | 1003675679
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Entity Type | Organization
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Legal Business Name | COLLABORATING CARE LLC
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Dates
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Enumeration Date | 03/18/2024
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 1880 S DAIRY ASHFORD RD STE 402
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City | HOUSTON
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State | TX
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Zip | 77077-4781
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Country | US
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Telephone | 281-299-8694
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Fax | 888-286-7442
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Provider Business Mailing Address
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Address Line | 1880 S DAIRY ASHFORD RD STE 402
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City | HOUSTON
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State | TX
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Zip | 77077-4781
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Country | US
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Telephone | 281-299-8694
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Fax | 888-286-7442
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Authorized Official
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Title or Position | CEO
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Name | KASHIF MAHMOOD
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Credential |
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Telephone | 281-299-8694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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