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General NPI Number Information
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NPI Number | 1669994570
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Entity Type | Organization
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Legal Business Name | MINA HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8811 TEEL PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75035-4201
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Country | US
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Telephone | 469-200-8628
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Fax | 469-200-8628
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Provider Business Mailing Address
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Address Line | PO BOX 5610
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City | FRISCO
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State | TX
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Zip | 75035-0219
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Country | US
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Telephone | 469-200-8628
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Fax | 469-200-8628
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ATIF AFZAL
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Credential | MD
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Telephone | 718-790-6703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | Q2968
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License Number State | TX
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