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NPI 1265942098

NPI 1265942098 : SUBEI MEDICAL PLLC : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1265942098
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUBEI MEDICAL PLLC 
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Dates
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    Enumeration Date     |    10/06/2017
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    Last Update Date     |    05/02/2019
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Provider Practice Location Address
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    Address Line         |    4130 N COLLINS ST 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76005
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    Country              |    US
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    Telephone            |    817-809-8760
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4015 SHADY FORGE TRL 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76005-4539
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ADNAN  SUBEI 
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    Credential           |    DO
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    Telephone            |    248-739-6451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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