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General NPI Number Information
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NPI Number | 1346695624
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Entity Type | Individual
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Provider Name | MODAR ALOM M.B.B.S
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Gender | Male
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5700 GRANITE PKWY STE 200
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City | PLANO
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State | TX
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Zip | 75024-6623
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Country | US
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Telephone | 618-604-4551
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 PRESTON RD APT 2513
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City | PLANO
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State | TX
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Zip | 75093-5133
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Country | US
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Telephone | 516-643-8781
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.135447
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License Number State | OH
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Taxonomy #2
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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 #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | T7150
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T7150
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35068
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License Number State | NH
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