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General NPI Number Information
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NPI Number | 1346436300
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Entity Type | Organization
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Legal Business Name | BARIATRIC & MINIMALLY INVASIVE SURGERY OF NORTH TEXAS
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 204 MEDICAL DR STE 260
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City | SHERMAN
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State | TX
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Zip | 75092-6366
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Country | US
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Telephone | 903-465-6400
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Fax | 903-465-6400
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Provider Business Mailing Address
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Address Line | PO BOX 913418
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City | SHERMAN
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State | TX
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Zip | 75091-3418
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Country | US
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Telephone | 903-818-7208
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Fax | 888-965-9987
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. IKRAM KURESHI
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Credential | M.D.
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Telephone | 214-335-7303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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