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General NPI Number Information
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NPI Number | 1134531379
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Entity Type | Individual
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Provider Name | BATOOL SALEEM PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 5200 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235
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Country | US
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Telephone | 214-590-3846
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660599
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City | DALLAS
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State | TX
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Zip | 75266-0599
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA4990
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA12067
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License Number State | TX
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