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General NPI Number Information
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NPI Number | 1205152964
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Entity Type | Individual
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Provider Name | NIDA RASHEED M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 1400 8TH AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4110
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Country | US
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Telephone | 972-249-0200
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Fax | 972-249-0206
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Provider Business Mailing Address
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Address Line | 6451 BRENTWOOD STAIR RD STE 100
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City | FORT WORTH
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State | TX
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Zip | 76112-3200
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Country | US
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Telephone | 972-249-0200
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Fax | 972-249-0206
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 390200000X
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P6704
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License Number State | TX
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