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General NPI Number Information
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NPI Number | 1700425055
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Entity Type | Organization
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Legal Business Name | GOLDFISH GROUP INC.
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Dates
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Enumeration Date | 01/04/2020
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Last Update Date | 01/18/2020
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Provider Practice Location Address
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Address Line | 6735 SALT CEDAR WAY, BUILDING 1 1039-300
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 702-510-2651
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Fax | 844-258-4963
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Provider Business Mailing Address
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Address Line | 13251 FOWLER DR
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City | FRISCO
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State | TX
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Zip | 75035-2374
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Country | US
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Telephone | 702-510-2651
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Fax | 844-258-4963
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Authorized Official
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Title or Position | M.D.
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Name | AMR HILAL
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Credential | MD
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Telephone | 702-510-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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