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NPI 1417239690

NPI 1417239690 : MEANINGFUL CARE,LLC : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1417239690
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEANINGFUL CARE,LLC 
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Dates
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    Enumeration Date     |    09/14/2011
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    Last Update Date     |    03/02/2012
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Provider Practice Location Address
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    Address Line         |    4040 MCDERMOTT RD SUIT 100
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75024-7734
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    Country              |    US
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    Telephone            |    972-668-6868
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    Fax                  |    972-668-1618
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Provider Business Mailing Address
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    Address Line         |    3512 TIMBER GLEN LN 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75070-9238
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    Country              |    US
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    Telephone            |    940-613-6909
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     HUMA  NAZ 
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    Credential           |    M.D
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    Telephone            |    940-613-6909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    N 3934
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    License Number State |    TX
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