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General NPI Number Information
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NPI Number | 1174572077
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Entity Type | Individual
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Provider Name | SHAHRAM NOROUZI SANI MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 1151 N. BUCKNER BLVD. STE. 403
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City | DALLAS
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State | TX
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Zip | 75218-3407
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Country | US
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Telephone | 469-200-4623
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Fax | 469-213-2782
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Provider Business Mailing Address
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Address Line | 9540 GARLAND RD. #381-251
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City | DALLAS
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State | TX
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Zip | 75218-5004
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Country | US
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Telephone | 469-200-4623
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Fax | 469-213-2782
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD035815
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P6074
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License Number State | TX
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