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General NPI Number Information
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NPI Number | 1548376379
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Entity Type | Organization
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Legal Business Name | VA NORTH TEXAS HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4500 S. LANCASTER RD DALLAS VA MEDICAL CENTER, APMS(112A)
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 214-857-1818
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Fax | 214-857-1867
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Provider Business Mailing Address
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Address Line | 4500 S. LANCASTER RD DALLAS VA MEDICAL CENTER, APMS(112A)
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 214-857-1818
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Fax | 214-857-1867
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Authorized Official
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Title or Position | STAFF ANESTHESIOLOGIST
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Name | DR. SYED ADIL AHMED
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Credential | M.D.
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Telephone | 214-857-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 156738
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License Number State | MA
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