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General NPI Number Information
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NPI Number | 1154905628
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Entity Type | Organization
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Legal Business Name | EEZEE HEALTHCARE LLC
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 03/12/2023
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Provider Practice Location Address
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Address Line | 1165 S STEMMONS FWY STE 264
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City | LEWISVILLE
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State | TX
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Zip | 75067-5374
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Country | US
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Telephone | 214-206-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 S STEMMONS FWY STE 264
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City | LEWISVILLE
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State | TX
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Zip | 75067-5374
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Country | US
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Telephone | 214-206-1118
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SHOBHA PANDAY
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Credential |
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Telephone | 214-206-1118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NULL
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