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General NPI Number Information
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NPI Number | 1235365750
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Entity Type | Individual
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Provider Name | AHMAD RAHMAN GARRETT-PRICE MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 136 GLASS ST STE 140
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City | DALLAS
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State | TX
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Zip | 75207-6930
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Country | US
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Telephone | 866-383-6230
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Fax | 214-433-6403
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Provider Business Mailing Address
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Address Line | 1505 WARREN DR
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City | DESOTO
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State | TX
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Zip | 75115-6633
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Country | US
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Telephone | 214-514-2288
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Fax | 214-433-6403
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A123927
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License Number State | CA
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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 | N9950
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License Number State | TX
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