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General NPI Number Information
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NPI Number | 1265227409
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Entity Type | Individual
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Provider Name | TARIQ MEHMOOD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 2756 KEOKUK ST
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City | FORT WORTH
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State | TX
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Zip | 76179-2423
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Country | US
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Telephone | 817-839-2924
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Fax | 817-396-6751
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Provider Business Mailing Address
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Address Line | 2756 KEOKUK ST
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City | FORT WORTH
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State | TX
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Zip | 76179-2423
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Country | US
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Telephone | 732-648-9727
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1191302
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License Number State | TX
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