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General NPI Number Information
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NPI Number | 1235535386
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Entity Type | Individual
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Provider Name | ASRA JAWED M.D
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FT WORTH
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State | TX
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Zip | 76104-4917
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Country | US
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Telephone | 817-702-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 2302 LONE STAR RD STE 260
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City | MANSFIELD
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State | TX
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Zip | 76063-8754
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Country | US
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Telephone | 682-341-7330
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Fax | 682-341-7332
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | T5585
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License Number State | TX
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