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General NPI Number Information
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NPI Number | 1124010400
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Entity Type | Individual
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Provider Name | DEEPAK PAHUJA M.D., MBBS, FACP
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 2770 MAIN ST STE 233
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City | FRISCO
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State | TX
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Zip | 75033-4463
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Country | US
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Telephone | 888-492-0254
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 MAIN ST STE 233
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City | FRISCO
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State | TX
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Zip | 75033-4463
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Country | US
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Telephone | 810-610-7726
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Fax | 814-453-2698
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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 | ME90837
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License Number State | FL
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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 | 4301077930
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License Number State | MI
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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 | MD426930
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License Number State | PA
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