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General NPI Number Information
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NPI Number | 1629103015
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Entity Type | Organization
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Legal Business Name | PERVAIZ RAHMAN, M.D. P.A.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 12800 HILLCREST RD SUITE123
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City | DALLAS
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State | TX
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Zip | 75230-1524
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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 | 12800 HILLCREST RD SUITE123
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City | DALLAS
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State | TX
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Zip | 75230-1524
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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 | PRESIDENT
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Name | DR. PERVAIZ RAHMAN
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Credential | M.D.
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Telephone | 972-681-9800
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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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