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General NPI Number Information
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NPI Number | 1467047704
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Entity Type | Organization
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Legal Business Name | AA OB GYN CLINIC PLLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 399 W CAMPBELL RD STE 301
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City | RICHARDSON
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State | TX
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Zip | 75080-3620
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Country | US
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Telephone | 194-078-2193
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 CEDAR VALLEY DR
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City | IRVING
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State | TX
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Zip | 75063-4417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TARIQ SHAIKH
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Credential |
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Telephone | 469-545-8862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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