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General NPI Number Information
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NPI Number | 1598772402
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Entity Type | Individual
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Provider Name | PERVAIZ RAHMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 1 MEDICAL PKWY STE 103
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City | DALLAS
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State | TX
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Zip | 75234-7830
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Country | US
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Telephone | 972-681-9800
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Fax | 972-681-9804
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Provider Business Mailing Address
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Address Line | 8078 ACOMA LN
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City | DALLAS
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State | TX
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Zip | 75252-8031
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Country | US
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Telephone | 972-681-9800
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Fax | 972-681-9804
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | F7892
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License Number State | TX
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