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General NPI Number Information
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NPI Number | 1225774250
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Entity Type | Individual
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Provider Name | SAMI SHAHZAD DPT
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Gender | Male
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 3059 CHAMPION WAY STE 400
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City | MELISSA
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State | TX
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Zip | 75454-2795
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Country | US
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Telephone | 469-885-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 2014 YELLOWSTONE LN
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City | CORINTH
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State | TX
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Zip | 76210-6432
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Country | US
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Telephone | 972-795-3562
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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