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General NPI Number Information
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NPI Number | 1457687378
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Entity Type | Individual
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Provider Name | AMIT MIRCHANDANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 1850 LAKEPOINTE DR STE 700
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City | LEWISVILLE
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State | TX
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Zip | 75057-6442
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Country | US
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Telephone | 214-306-4116
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Fax | 469-630-0069
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Provider Business Mailing Address
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Address Line | 1850 LAKEPOINTE DR STE 700
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City | LEWISVILLE
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State | TX
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Zip | 75057-6442
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Country | US
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Telephone | 214-306-4116
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Fax | 469-630-0069
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N9604
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | N9604
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License Number State | TX
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