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General NPI Number Information
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NPI Number | 1053506923
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PLASTIC SURGERY
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 1545 E SOUTHLAKE BLVD SUITE 250
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6422
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Country | US
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Telephone | 214-663-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 851 LAKE CAROLYN PARKWAY #317
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City | IRVING
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State | TX
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Zip | 75039
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Country | US
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Telephone | 214-663-4339
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Fax |
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | SACHA OBAID
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Credential | M.D.
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Telephone | 214-663-4339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | M7486
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License Number State | TX
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