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General NPI Number Information
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NPI Number | 1477873859
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Entity Type | Individual
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Provider Name | SANOBER AMIN M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 03/16/2025
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Provider Practice Location Address
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Address Line | 1600 W COLLEGE ST STE LL40
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 214-337-6362
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Fax | 214-337-6329
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Provider Business Mailing Address
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Address Line | 516 E BYRON NELSON BLVD UNIT 1638
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City | ROANOKE
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State | TX
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Zip | 76262-6269
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Country | US
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Telephone | 214-337-6362
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Fax | 214-337-6329
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | Q6389
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License Number State | TX
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