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General NPI Number Information
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NPI Number | 1346339280
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Entity Type | Individual
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Provider Name | DAVOOD REZAEI RPH
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4500 S. LANCASTER RD (8C) CRU
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 214-857-0156
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Fax | 214-462-4990
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Provider Business Mailing Address
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Address Line | 3953 COBBLESTONE CT
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City | PLANO
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State | TX
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Zip | 75093-7237
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Country | US
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Telephone | 214-857-0156
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Fax | 214-462-4990
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 32447
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License Number State | TX
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