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General NPI Number Information
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NPI Number | 1073652806
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Entity Type | Individual
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Provider Name | SAMER M NACHAWATI DO
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 929 N GALLOWAY AVE STE 102
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City | MESQUITE
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State | TX
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Zip | 75149-2400
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Country | US
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Telephone | 972-352-3203
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Fax | 214-660-2525
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Provider Business Mailing Address
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Address Line | 3330 NORTH GALLOWAY STE 304
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City | MESQUITE
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State | TX
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Zip | 75150-4767
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Country | US
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Telephone | 806-905-5175
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Fax | 214-915-8623
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | Q9689
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q9689
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License Number State | TX
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