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General NPI Number Information
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NPI Number | 1659031573
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Entity Type | Organization
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Legal Business Name | EVOLVE PSYCHIATRY MD, INC.
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 5300 TOWN AND COUNTRY BLVD STE 240
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City | FRISCO
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State | TX
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Zip | 75034-6894
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Country | US
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Telephone | 631-949-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 13195 TERLINGUA CREEK DR
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City | FRISCO
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State | TX
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Zip | 75033-3034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. RIZWAN AHMAD
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Credential | MD
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Telephone | 631-949-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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