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General NPI Number Information
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NPI Number | 1447557855
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY ASSOCIATES OF NORTH TEXAS, P.A.
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Dates
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Enumeration Date | 02/21/2011
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Last Update Date | 02/21/2011
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Provider Practice Location Address
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Address Line | 4461 COIT RD SUITE 402
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City | FRISCO
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State | TX
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Zip | 75035-0521
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Country | US
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Telephone | 409-939-4964
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Fax |
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Provider Business Mailing Address
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Address Line | 4461 COIT RD SUITE 402
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City | FRISCO
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State | TX
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Zip | 75035-0521
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Country | US
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Telephone | 409-939-4964
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BAHAREH REZAZADEH
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Credential | MD
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Telephone | 409-939-4964
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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 | N4036
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License Number State | TX
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