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General NPI Number Information
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NPI Number | 1356913297
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Entity Type | Organization
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Legal Business Name | DALLAS ARTHRITIS AND AUTOIMMUNE DISEASE CENTER PLLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 425 N HIGHLAND AVE STE 200
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City | SHERMAN
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State | TX
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Zip | 75092-7383
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Country | US
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Telephone | 903-508-4230
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Fax | 903-553-4388
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Provider Business Mailing Address
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Address Line | 425 N HIGHLAND AVE STE 200
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City | SHERMAN
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State | TX
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Zip | 75092-7383
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Country | US
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Telephone | 90-350-8423
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Fax | 903-553-4388
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Authorized Official
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Title or Position | PRACTICE ADMIN
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Name | KAMRAN WASI
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Credential | ADMIN
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Telephone | 732-523-4103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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