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General NPI Number Information
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NPI Number | 1356284723
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Entity Type | Organization
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Legal Business Name | PRIMEAURA LLC
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 05/28/2026
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Provider Practice Location Address
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Address Line | 3910 OLD DENTON RD APT 1307
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City | CARROLLTON
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State | TX
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Zip | 75007-1012
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Country | US
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Telephone | 479-262-0967
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 S COLONY BLVD UNIT 560053
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City | THE COLONY
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State | TX
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Zip | 75056-2330
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Country | US
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Telephone | 945-370-4075
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SYED A MUTAHIR
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Credential |
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Telephone | 945-370-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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