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General NPI Number Information
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NPI Number | 1114217403
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Entity Type | Organization
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Legal Business Name | KARIM M. MEGHANI, MD, PA
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 425 ALABAMA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-1022
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Country | US
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Telephone | 817-820-3502
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Fax | 817-820-3505
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Provider Business Mailing Address
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Address Line | PO BOX 93267
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0112
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Country | US
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Telephone | 817-820-3502
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Fax | 817-820-3505
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARIM MEGHANI
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Credential | MD
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Telephone | 817-820-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J9205
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License Number State | TX
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