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General NPI Number Information
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NPI Number | 1659987022
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN GERIATRIC AND PALLIATIVE CARE MEDICINE PLLC
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LN STE 310
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City | DALLAS
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State | TX
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Zip | 75231-4419
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Country | US
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Telephone | 972-913-2850
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Fax | 972-913-2975
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Provider Business Mailing Address
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Address Line | 8198 WALNUT HILL LANE JACKSON BLDG SUITE 100
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City | DALLAS
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State | TX
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Zip | 75231
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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 | OFFICE MANAGER
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Name | TAZEEN AKBAR
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Credential |
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Telephone | 469-854-3546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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