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General NPI Number Information
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NPI Number | 1467541664
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Entity Type | Individual
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Provider Name | TALAT TAYYABA M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 3417 SPECTRUM BLVD STE 200
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City | RICHARDSON
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State | TX
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Zip | 75082-9705
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Country | US
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Telephone | 972-478-0322
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Fax | 972-907-1187
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Provider Business Mailing Address
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Address Line | 3417 SPECTRUM BLVD STE 200
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City | RICHARDSON
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State | TX
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Zip | 75082-9705
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Country | US
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Telephone | 214-927-8018
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Fax | 817-684-0406
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | TEMPORARY
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | T-00925
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | M8379
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License Number State | TX
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