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General NPI Number Information
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NPI Number | 1508472697
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Entity Type | Individual
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Provider Name | AMNA DHANANI PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1601 W HEBRON PKWY STE 100
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City | CARROLLTON
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State | TX
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Zip | 75010-6342
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Country | US
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Telephone | 972-426-8675
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Fax | 972-492-4694
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Provider Business Mailing Address
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Address Line | 1601 W HEBRON PKWY STE 100
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City | CARROLLTON
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State | TX
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Zip | 75010-6342
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Country | US
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Telephone | 972-426-8675
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Fax | 972-492-4694
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13367
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License Number State | TX
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