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General NPI Number Information
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NPI Number | 1285443739
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Entity Type | Organization
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Legal Business Name | ASCLEYA CORPORATION
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 8108 LINDHEIMER LN
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 916-759-5058
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 NIMITZ LN
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City | PLANO
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State | TX
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Zip | 75074-0314
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Country | US
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Telephone | 916-759-5058
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAZNEEN VISRAM
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Credential |
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Telephone | 916-759-5058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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