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General NPI Number Information
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NPI Number | 1205251733
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Entity Type | Organization
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Legal Business Name | TEXAS STAR PHYSICIANS ALLIANCE LLC
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 3100 PETERS COLONY RD
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2949
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Country | US
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Telephone | 214-513-0310
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 S LOOP 288 SUITE 104 PMB 194
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City | DENTON
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State | TX
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Zip | 76205-4703
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Country | US
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Telephone | 520-250-7440
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Fax |
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Authorized Official
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Title or Position | COOWNER
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Name | SHEIRF LATIF
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Credential | MD
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Telephone | 520-250-7440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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