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General NPI Number Information
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NPI Number | 1518125962
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Entity Type | Individual
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Provider Name | ASAD PATHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2008
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 3180 EXECUTIVE DR STE 102
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City | SAN ANGELO
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State | TX
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Zip | 76904
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Country | US
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Telephone | 325-944-1240
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Fax | 325-944-8616
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Provider Business Mailing Address
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Address Line | 4029 STANFORD AVE
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City | DALLAS
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State | TX
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Zip | 75225-7006
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Country | US
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Telephone | 469-835-0914
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Fax |
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | J4425
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD151160
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | J4425
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License Number State | TX
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