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General NPI Number Information
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NPI Number | 1326400862
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Entity Type | Individual
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Provider Name | AMAL ALDURRA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 399 W CAMPBELL RD
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City | RICHARDSON
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State | TX
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Zip | 75080-3595
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Country | US
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Telephone | 194-078-2193
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 CEDAR VALLEY DR
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City | IRVING
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State | TX
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Zip | 75063
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Country | US
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Telephone | 940-782-1934
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | S6995
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License Number State | TX
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