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General NPI Number Information
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NPI Number | 1194670505
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Entity Type | Organization
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Legal Business Name | AMERICAN PREVENTIVE & PRIMARY CARE PLLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 3311 YUCCA DR STE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2743
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Country | US
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Telephone | 469-930-4655
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 YUCCA DR STE 100
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2743
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Country | US
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Telephone | 469-930-4655
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IRENE LAZARUS
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Credential | MD MPH
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Telephone | 817-300-6221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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