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General NPI Number Information
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NPI Number | 1093736985
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Entity Type | Organization
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Legal Business Name | DOCTOR IS IN, PA
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 4812 ROBERTS ST
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City | GREENVILLE
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State | TX
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Zip | 75401-5669
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Country | US
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Telephone | 903-455-1234
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Fax | 903-455-2122
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Provider Business Mailing Address
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Address Line | 4812 ROBERTS ST
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City | GREENVILLE
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State | TX
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Zip | 75401-5669
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Country | US
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Telephone | 903-455-1234
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Fax | 903-455-2122
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | MR. HASSAN FAROOQ
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Credential | MD
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Telephone | 903-455-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K4421
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License Number State | TX
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