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General NPI Number Information
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NPI Number | 1588834311
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Entity Type | Individual
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Provider Name | SHADY AHMED EL-ZAYATY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 1355 RIVER BEND DR
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City | DALLAS
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State | TX
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Zip | 75247-4915
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Country | US
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Telephone | 214-237-1693
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Fax | 214-237-1849
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Provider Business Mailing Address
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Address Line | 4090 COVENT GARDEN LN
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City | FRISCO
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State | TX
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Zip | 75034-8362
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Country | US
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Telephone | 312-919-6464
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Fax | 773-702-9903
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036-115131
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License Number State | IL
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