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General NPI Number Information
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NPI Number | 1083719231
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Entity Type | Individual
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Provider Name | MAHENDRA O THAKRAR MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 2608 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2525
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Country | US
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Telephone | 817-861-4499
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Fax | 817-861-8411
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Provider Business Mailing Address
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Address Line | 2608 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2525
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Country | US
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Telephone | 817-861-4499
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Fax | 817-861-8411
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E7299
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | E7299
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License Number State | TX
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