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General NPI Number Information
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NPI Number | 1306072335
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Entity Type | Organization
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Legal Business Name | JANNA MASSAR MD PA
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 2208 DALLAS PKWY SUITE 325C1
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City | PLANO
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State | TX
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Zip | 75093-4359
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Country | US
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Telephone | 972-403-7555
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Fax | 972-403-9199
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Provider Business Mailing Address
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Address Line | 2208 DALLAS PKWY SUITE 325C1
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City | PLANO
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State | TX
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Zip | 75093-4359
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Country | US
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Telephone | 972-403-7555
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Fax | 972-403-9199
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANNA MASSAR
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Credential | MD
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Telephone | 972-403-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K6484
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License Number State | TX
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