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General NPI Number Information
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NPI Number | 1538320072
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Entity Type | Organization
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Legal Business Name | ASRA KERMANI MD, PA
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 12/21/2012
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Provider Practice Location Address
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Address Line | 6810 LAKESHORE DRIVE
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City | DALLAS
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State | TX
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Zip | 75214
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Country | US
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Telephone | 214-883-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 ARISTA DR STE 101
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City | ROCKWALL
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State | TX
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Zip | 75032-6657
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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 | PRESIDENT
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Name | ASRA KERMANI
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Credential | M.D.
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Telephone | 214-883-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | M5280
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License Number State | TX
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