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General NPI Number Information
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NPI Number | 1396161303
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Entity Type | Organization
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Legal Business Name | AMCC MEDICAL, INC.
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 100 NE LOOP 286
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City | PARIS
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State | TX
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Zip | 75460
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Country | US
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Telephone | 214-691-2975
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Fax | 214-279-5080
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Provider Business Mailing Address
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Address Line | PO BOX 850187 AMCC MEDICAL, INC.
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City | RICHARDSON
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State | TX
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Zip | 75085-0187
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Country | US
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Telephone | 972-325-8191
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Fax | 469-206-3324
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ASIF KHAN
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Credential |
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Telephone | 469-206-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | H4283
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License Number State | TX
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