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General NPI Number Information
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NPI Number | 1598060469
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Entity Type | Organization
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Legal Business Name | PATHWAYS MEDICAL SERVICES, P.L.L.C
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 6537 PRESTON RD
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City | PLANO
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State | TX
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Zip | 75024-2610
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Country | US
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Telephone | 972-800-3043
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 260205
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City | PLANO
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State | TX
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Zip | 75026-0205
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Country | US
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Telephone | 972-800-3043
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | DR. ARSHI TABAN HAQUE
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Credential | M.D.
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Telephone | 972-800-3043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | M3572
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License Number State | TX
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