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General NPI Number Information
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NPI Number | 1689915498
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Entity Type | Organization
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Legal Business Name | MC OF FRISCO LLC
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 3388 W MAIN ST STE 100
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City | FRISCO
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State | TX
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Zip | 75033-4553
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Country | US
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Telephone | 972-388-4968
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Fax | 214-272-3948
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Provider Business Mailing Address
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Address Line | PO BOX 261043
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City | PLANO
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State | TX
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Zip | 75026-1043
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Country | US
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Telephone | 972-388-4968
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Fax | 214-272-3948
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Authorized Official
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Title or Position | OWNER
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Name | MALIK A SAEED
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Credential | MD
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Telephone | 972-388-4968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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