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General NPI Number Information
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NPI Number | 1023717428
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Entity Type | Individual
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Provider Name | MUHAMMAD IQBAL KHAN
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Gender | Male
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 11700 PRESTON RD
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City | DALLAS
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State | TX
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Zip | 75230-6112
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Country | US
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Telephone | 214-750-4502
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 HUNTINGTON DR
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City | WYLIE
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State | TX
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Zip | 75098-7164
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Country | US
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Telephone | 214-892-1980
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 45718
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License Number State | TX
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