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General NPI Number Information
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NPI Number | 1457471419
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Entity Type | Individual
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Provider Name | MADHAVI AMPAJWALA M.D
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 9990 DALLAS PKWY STE 200
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City | FRISCO
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State | TX
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Zip | 75033-4133
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Country | US
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Telephone | 214-387-8288
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Fax | 143-878-2892
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Provider Business Mailing Address
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Address Line | 9990 DALLAS PKWY STE 200
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City | FRISCO
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State | TX
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Zip | 75033-4133
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Country | US
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Telephone | 214-387-8288
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Fax | 214-387-8289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 13735
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M8491
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License Number State | TX
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