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General NPI Number Information
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NPI Number | 1104264845
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Entity Type | Individual
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Provider Name | TEJAS VASANT OZARKAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 8080 INDEPENDENCE PKWY STE 110
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City | PLANO
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State | TX
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Zip | 75025-4004
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Country | US
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Telephone | 972-596-1059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 251707
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City | PLANO
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State | TX
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Zip | 75025-1707
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Country | US
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Telephone | 972-596-1059
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Fax | 972-612-5410
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | BP10059956
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MT204706
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | R6648
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License Number State | TX
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