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General NPI Number Information
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NPI Number | 1306205281
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Entity Type | Organization
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Legal Business Name | ATLAS VISITING PHYSICIANS, INC
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 1420 VALWOOD PKWY SUITE 20-170A
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City | CARROLLTON
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State | TX
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Zip | 75006-8312
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Country | US
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Telephone | 847-338-0383
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 VALWOOD PKWY SUITE 20-170A
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City | CARROLLTON
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State | TX
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Zip | 75006-8312
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Country | US
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Telephone | 847-338-0383
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Fax | 214-614-4244
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | VARTKES ARAKISORDSHAHI
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Credential | TECHNICIAN
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Telephone | 847-338-0383
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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 |
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License Number State |
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