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General NPI Number Information
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NPI Number | 1326267147
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Entity Type | Individual
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Provider Name | PATRICK CHIDI OBASI MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 6201 K AVE STE 100
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City | PLANO
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State | TX
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Zip | 75074-2503
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Country | US
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Telephone | 214-227-0668
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Fax | 214-227-0670
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Provider Business Mailing Address
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Address Line | 6201 K AVE STE 100
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City | PLANO
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State | TX
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Zip | 75074-2503
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Country | US
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Telephone | 214-227-0668
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Fax | 214-227-0670
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | N6542
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N6542
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N6542
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License Number State | TX
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