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General NPI Number Information
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NPI Number | 1104688894
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Entity Type | Organization
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Legal Business Name | FITFOCUS MD CLINIC PLLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5444 FM 423 STE 600
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City | FRISCO
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State | TX
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Zip | 75036-7181
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Country | US
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Telephone | 945-312-2180
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Fax | 469-564-8069
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Provider Business Mailing Address
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Address Line | 5444 FM 423 STE 600
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City | FRISCO
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State | TX
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Zip | 75036-7181
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Country | US
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Telephone | 945-312-2180
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Fax | 469-564-8069
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Authorized Official
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Title or Position | MD
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Name | KINJAL PRAKASH GADHIYA
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Credential | MD
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Telephone | 945-312-2180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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