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General NPI Number Information
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NPI Number | 1093636425
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Entity Type | Organization
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Legal Business Name | TECH SOURCE VENTURES LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 2909 GOLDEN GATE CT
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City | CARROLLTON
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State | TX
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Zip | 75007-5030
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Country | US
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Telephone | 945-446-0764
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Fax |
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Provider Business Mailing Address
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Address Line | 2909 GOLDEN GATE CT
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City | CARROLLTON
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State | TX
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Zip | 75007-5030
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Country | US
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Telephone | 945-446-0764
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MUHAMMAD ANWAAR HUSSAIN
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Credential |
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Telephone | 945-446-0764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number |
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License Number State |
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