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General NPI Number Information
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NPI Number | 1144775891
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Entity Type | Organization
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Legal Business Name | LIVER CENTER OF TEXAS, PLLC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 9 MEDICAL PKWY PLAZA 4 STE 206
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City | DALLAS
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State | TX
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Zip | 75234-7858
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Country | US
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Telephone | 214-558-2435
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 260993
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City | PLANO
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State | TX
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Zip | 75026-0993
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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 | FOUNDER OWNER
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Name | ABDULLAH MUBARAK
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Credential | MD
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Telephone | 214-558-2435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0008X
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Taxonomy Name | Hepatology Physician
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License Number | M5390
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License Number State | TX
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