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General NPI Number Information
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NPI Number | 1104024074
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Entity Type | Organization
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Legal Business Name | PRIME GLOBAL ENTERPRISES, INC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11500 N STEMMONS FWY #145
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City | DALLAS
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State | TX
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Zip | 75229-2184
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Country | US
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Telephone | 972-241-9977
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Fax | 972-241-8227
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Provider Business Mailing Address
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Address Line | PO BOX 701359
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City | DALLAS
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State | TX
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Zip | 75370-1359
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Country | US
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Telephone | 972-241-9977
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Fax | 972-241-8227
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Authorized Official
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Title or Position | PROPRIETOR
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Name | RAMIN SIROOSIAN
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Credential | D.C.
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Telephone | 972-241-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6778
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License Number State | TX
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