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General NPI Number Information
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NPI Number | 1073383105
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Entity Type | Organization
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Legal Business Name | PEAK LIFE HEALTH PLLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 17430 CAMPBELL RD STE 206
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City | DALLAS
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State | TX
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Zip | 75252-5213
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Country | US
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Telephone | 254-475-4754
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Fax | 254-273-8863
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Provider Business Mailing Address
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Address Line | 17430 CAMPBELL RD STE 206
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City | DALLAS
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State | TX
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Zip | 75252-5213
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Country | US
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Telephone | 254-475-4754
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Fax | 254-273-8863
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMAN DHILLON
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Credential | MD
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Telephone | 97-148-7339
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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