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General NPI Number Information
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NPI Number | 1275938987
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Entity Type | Organization
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Legal Business Name | DAULAT DERMATOLOGY PA
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 13740 RESEARCH BLVD P-4
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City | AUSTIN
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State | TX
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Zip | 78750-1884
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Country | US
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Telephone | 512-250-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 RICK WHINERY DR
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City | AUSTIN
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State | TX
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Zip | 78728-4566
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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 | DERMATOLOGIST
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Name | DR. SEEMA DAULAT
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Credential | M.D.
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Telephone | 214-293-7253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | N3600
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License Number State | TX
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