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General NPI Number Information
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NPI Number | 1548472111
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Entity Type | Organization
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Legal Business Name | GROUP MED ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2805 W. ARKANSAS LANE SUITE 304
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City | ARLINGTON
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State | TX
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Zip | 76016-5729
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Country | US
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Telephone | 817-274-8999
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Fax | 817-274-9099
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Provider Business Mailing Address
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Address Line | 2805 W. ARKANSAS LANE SUITE 304
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City | ARLINGTON
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State | TX
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Zip | 76016-5729
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Country | US
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Telephone | 817-274-8999
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Fax | 817-274-9099
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Authorized Official
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Title or Position | OWNER
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Name | MR. WALI A KHAN
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Credential |
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Telephone | 817-274-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25510
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License Number State | TX
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