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General NPI Number Information
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NPI Number | 1457817017
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Entity Type | Organization
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Legal Business Name | SMB MEDICAL PLLC
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 6408 LUDLOW LN
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City | PARKER
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State | TX
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Zip | 75002-3723
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Country | US
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Telephone | 480-235-1079
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Fax | 855-267-3404
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Provider Business Mailing Address
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Address Line | 14123 SORANO DR
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City | FRISCO
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State | TX
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Zip | 75035-9293
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Country | US
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Telephone | 480-235-1079
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Fax | 855-267-3404
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Authorized Official
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Title or Position | OWNER
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Name | MUZAKEER A SHAIK
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Credential | M.D.
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Telephone | 480-235-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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