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NPI 1619912433

NPI 1619912433 : FUAD ZAYED MD PA : ALTON, TX

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General NPI Number Information
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    NPI Number           |    1619912433
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    Entity Type          |    Organization 
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    Legal Business Name  |    FUAD ZAYED MD PA 
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Dates
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    Enumeration Date     |    06/17/2006
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    Last Update Date     |    06/07/2014
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Provider Practice Location Address
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    Address Line         |    3012 E MAIN AVE STE F
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    City                 |    ALTON
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    State                |    TX
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    Zip                  |    78573-0907
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    Country              |    US
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    Telephone            |    956-432-0150
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    Fax                  |    956-432-0154
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6085 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78502-6085
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    Country              |    US
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    Telephone            |    956-432-0150
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    Fax                  |    956-432-0154
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     FUAD  ZAYED 
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    Credential           |    MD
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    Telephone            |    956-432-0150
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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       |    L9571
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    License Number State |    TX
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