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General NPI Number Information
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NPI Number | 1598992166
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Entity Type | Organization
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Legal Business Name | A-MEDICAL HOUSECALLS
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 09/18/2009
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Provider Practice Location Address
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Address Line | 15330 LBJ FRWY STE 206
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City | MESQUITE
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State | TX
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Zip | 75150-1233
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Country | US
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Telephone | 972-698-0040
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Fax | 972-698-9080
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Provider Business Mailing Address
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Address Line | 15330 LBJ FRWY STE 206
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City | MESQUITE
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State | TX
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Zip | 75150-1233
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Country | US
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Telephone | 972-698-0040
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Fax | 972-698-9080
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KANU A PATEL
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Credential | M.D.
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Telephone | 972-548-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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