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General NPI Number Information
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NPI Number | 1649813502
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Entity Type | Individual
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Provider Name | PRAVEEN KUMAR SAH MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 1400 S COULTER ST STE 1500
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City | AMARILLO
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State | TX
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Zip | 79106-1786
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Country | US
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Telephone | 806-414-9800
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Fax | 806-354-5689
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Provider Business Mailing Address
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Address Line | 1400 S COULTER ST STE 1500
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City | AMARILLO
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State | TX
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Zip | 79106-1786
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Country | US
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Telephone | 806-414-9800
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Fax | 806-354-5689
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP027876
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11004166
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F383080
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10089080
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License Number State | TX
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