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General NPI Number Information
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NPI Number | 1124460944
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Entity Type | Organization
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Legal Business Name | TAREQ HULALI, M.D., LP
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 3421 CALDERA BLVD
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City | MIDLAND
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State | TX
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Zip | 79707-2825
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Country | US
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Telephone | 432-242-0540
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Fax | 432-242-0541
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Provider Business Mailing Address
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Address Line | 5317 GREATHOUSE AVE
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City | MIDLAND
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State | TX
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Zip | 79707-3133
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Country | US
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Telephone | 432-242-0540
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Fax | 432-242-0541
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. TAREQ HULALI
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Credential |
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Telephone | 251-533-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | N3740
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License Number State | TX
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