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General NPI Number Information
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NPI Number | 1033619317
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Entity Type | Organization
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Legal Business Name | SUMMUS BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 2340 E TRINITY MILLS RD STE 250
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City | CARROLLTON
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State | TX
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Zip | 75006-1946
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Country | US
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Telephone | 214-882-9136
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Fax | 817-622-8068
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Provider Business Mailing Address
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Address Line | 2340 E TRINITY MILLS RD STE 250
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City | CARROLLTON
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State | TX
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Zip | 75006-1946
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Country | US
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Telephone | 214-882-9136
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Fax | 817-622-8068
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Authorized Official
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Title or Position | MEMBER
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Name | HARIS NASEEM
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Credential | MD
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Telephone | 214-882-9136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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