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General NPI Number Information
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NPI Number | 1568106532
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Entity Type | Individual
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Provider Name | ALAH ELASMAR RD, LD, IFNCP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 3028 RIDGELAKE WAY
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City | CARROLLTON
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State | TX
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Zip | 75010-4850
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Country | US
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Telephone | 281-760-7242
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Fax |
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Provider Business Mailing Address
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Address Line | 3028 RIDGELAKE WAY
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City | CARROLLTON
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State | TX
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Zip | 75010-4850
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Country | US
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Telephone | 281-760-7242
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT87634
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License Number State | TX
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