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General NPI Number Information
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NPI Number | 1033027230
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Entity Type | Organization
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Legal Business Name | AATH ADVANCED MEDICAL LLC
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 3921 GUSTON HALL CT
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City | PLANO
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State | TX
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Zip | 75025-2009
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Country | US
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Telephone | 972-208-0808
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 GUSTON HALL CT
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City | PLANO
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State | TX
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Zip | 75025-2009
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Country | US
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Telephone | 972-208-0808
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TARIQ HENDAWI
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Credential |
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Telephone | 972-208-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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