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General NPI Number Information
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NPI Number | 1114102092
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Entity Type | Individual
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Provider Name | AYESHA JAMAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 5252 W UNIVERSITY DR
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City | MCKINNEY
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State | TX
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Zip | 75071-7822
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Country | US
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Telephone | 469-764-6950
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 SPRINGBRANCH DR
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City | RICHARDSON
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State | TX
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Zip | 75082-2430
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Country | US
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Telephone | 972-268-0591
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A101850
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License Number State | CA
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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 | D0067373
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N2580
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License Number State | TX
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