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General NPI Number Information
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NPI Number | 1598497067
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Entity Type | Individual
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Provider Name | HADI A ABUSAAD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 7785 ELDORADO PKWY STE 400
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City | MCKINNEY
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State | TX
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Zip | 75070-5615
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Country | US
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Telephone | 972-564-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 7785 ELDORADO PKWY STE 400
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City | MCKINNEY
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State | TX
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Zip | 75070-5615
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Country | US
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Telephone | 972-564-8400
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Fax | 972-564-8410
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10603
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License Number State | TX
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