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General NPI Number Information
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NPI Number | 1689004996
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Entity Type | Individual
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Provider Name | MANSOOR AHMED KAZI FNP-C
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Gender | Male
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 5068 W PLANO PKWY STE 295C
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City | PLANO
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State | TX
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Zip | 75093-4408
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Country | US
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Telephone | 972-900-0207
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Fax | 469-965-9727
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Provider Business Mailing Address
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Address Line | 709 DIVIDEND AVE
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City | PLANO
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State | TX
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Zip | 75074-8314
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Country | US
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Telephone | 972-900-0207
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Fax | 877-512-6442
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 750481
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License Number State | TX
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