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General NPI Number Information
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NPI Number | 1134627417
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Entity Type | Organization
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Legal Business Name | MILLENNIUM MEDICAL CARE, PLLC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 1805 W CAMPBELL RD STE 101
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City | GARLAND
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State | TX
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Zip | 75044-2401
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Country | US
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Telephone | 906-360-4755
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Fax | 877-311-0460
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Provider Business Mailing Address
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Address Line | 7302 COVEWOOD DR
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City | GARLAND
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State | TX
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Zip | 75044-2624
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Country | US
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Telephone | 906-360-4755
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Fax | 877-311-0460
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SADAF SALEEM
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Credential | MD
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Telephone | 906-360-4755
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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 | N9080
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P2515
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License Number State | TX
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