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General NPI Number Information
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NPI Number | 1326503095
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Entity Type | Individual
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Provider Name | MUNTAHA ALI ABDELHADI R.N., C.P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1401 S BUCKNER BLVD STE 139
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City | DALLAS
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State | TX
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Zip | 75217-1943
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Country | US
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Telephone | 469-488-4400
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Fax | 972-980-3738
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Provider Business Mailing Address
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Address Line | 1401 S BUCKNER BLVD STE 139
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City | DALLAS
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State | TX
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Zip | 75217-1943
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Country | US
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Telephone | 469-488-4400
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Fax | 972-980-3738
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP116276
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 676118
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License Number State | TX
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