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General NPI Number Information
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NPI Number | 1558920082
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Entity Type | Organization
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Legal Business Name | MEDCO ER FRISCO LLC
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Dates
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Enumeration Date | 06/09/2019
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Last Update Date | 06/09/2019
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Provider Practice Location Address
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Address Line | 5600 ELDORADO PKWY
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City | FRISCO
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State | TX
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Zip | 75033-3207
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Country | US
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Telephone | 469-840-4608
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 232398
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City | ENCINITAS
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State | CA
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Zip | 92023-2398
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Country | US
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Telephone | 469-392-4100
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Fax | 469-840-4608
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Authorized Official
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Title or Position | OWNER
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Name | SAEID SHAHRI
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Credential |
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Telephone | 469-392-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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