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General NPI Number Information
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NPI Number | 1285093948
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Entity Type | Individual
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Provider Name | MEHRSA HARATIZADEH D.C.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 3900 S. STONEBRIDGE DR. SUITE 801
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City | MCKINNEY
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State | TX
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Zip | 75070-8056
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Country | US
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Telephone | 972-427-1210
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Fax | 214-451-6063
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Provider Business Mailing Address
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Address Line | 1780 W. MCDERMOTT DR. SUITE 200
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City | ALLEN
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State | TX
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Zip | 75013-3363
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Country | US
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Telephone | 972-954-1471
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Fax | 214-495-0933
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13064
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License Number State | TX
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