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General NPI Number Information
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NPI Number | 1598211708
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Entity Type | Organization
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Legal Business Name | CRESCENT LANCASTER MEDICAL GROUP
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 2600 W PLEASANT RUN ROAD
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City | LANCASTER
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State | TX
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Zip | 75149-1114
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Country | US
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Telephone | 972-230-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 4085 OHIO DR. STE # 100
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-230-8888
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | ARSHAD ABBASI
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Credential | M.D
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Telephone | 972-230-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | N8262
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License Number State | TX
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