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General NPI Number Information
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NPI Number | 1316386055
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Entity Type | Individual
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Provider Name | MOMIN ZAFARULLAH CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/16/2013
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 4510 MEDICAL CENTER DR STE 150
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City | MCKINNEY
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State | TX
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Zip | 75069-0144
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Country | US
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Telephone | 972-547-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 TENNYSON PKWY STE 300
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City | PLANO
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State | TX
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Zip | 75024-3595
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Country | US
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Telephone | 210-862-4199
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 746943
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License Number State | TX
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