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General NPI Number Information
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NPI Number | 1194036459
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Entity Type | Organization
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Legal Business Name | ADULT CHILD & ADOLESCENT PSYCHIATRIC SERVICES PA
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 5501 INDEPENDENCE PKWY STE 302
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City | PLANO
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State | TX
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Zip | 75023-5470
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Country | US
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Telephone | 469-747-1010
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 2755
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City | MCKINNEY
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State | TX
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Zip | 75070
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Country | US
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Telephone | 469-747-1010
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Fax | 469-747-1014
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD S KHAN
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Credential | MD
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Telephone | 972-709-7556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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