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General NPI Number Information
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NPI Number | 1629228739
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Entity Type | Individual
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Provider Name | RABEEA KHALID CHOUDHARY MD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 555 REPUBLIC DR STE 100
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City | PLANO
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State | TX
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Zip | 75074-5400
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Country | US
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Telephone | 972-308-0000
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Fax | 972-318-2003
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Provider Business Mailing Address
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Address Line | 555 REPUBLIC DR STE 100B
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City | PLANO
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State | TX
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Zip | 75074-5481
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Country | US
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Telephone | 972-308-0000
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Fax | 972-318-2003
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 8718
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | S3368
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License Number State | TX
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