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General NPI Number Information
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NPI Number | 1598639320
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Entity Type | Individual
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Provider Name | ABDULLAH CHAUDHRY
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Gender | Male
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 4200 SOUTH FWY # 2
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City | FORT WORTH
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State | TX
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Zip | 76115-1400
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Country | US
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Telephone | 682-384-4678
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 S ROBINSON RD APT 5202
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-1342
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42012
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License Number State | TX
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