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General NPI Number Information
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NPI Number | 1235634387
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Entity Type | Organization
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Legal Business Name | MEDLIFE TEXAS INC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 8 E SIDE PLZ STE C
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City | LADONIA
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State | TX
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Zip | 75449-1316
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Country | US
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Telephone | 469-569-0745
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Fax |
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Provider Business Mailing Address
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Address Line | 805 STANFORD DR
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City | MURPHY
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State | TX
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Zip | 75094-4412
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Country | US
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Telephone | 214-228-7246
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ZEHRA KAMAL
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Credential |
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Telephone | 469-569-0745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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