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General NPI Number Information
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NPI Number | 1144976739
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Entity Type | Organization
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Legal Business Name | AWESOME CARE PLLC
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 888 S GREENVILLE AVE STE 304
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City | RICHARDSON
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State | TX
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Zip | 75081-5044
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Country | US
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Telephone | 469-684-5450
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Fax | 646-864-9300
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Provider Business Mailing Address
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Address Line | 888 S GREENVILLE AVE STE 304
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City | RICHARDSON
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State | TX
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Zip | 75081-5044
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Country | US
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Telephone | 469-684-5450
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Fax | 646-864-9300
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Authorized Official
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Title or Position | OWNER
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Name | AHMAD ABAZID
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Credential | MD
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Telephone | 469-684-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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