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General NPI Number Information
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NPI Number | 1700950383
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Entity Type | Individual
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Provider Name | SYED MEHDI AHMAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 3950 W PLANO PKWY STE A
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City | PLANO
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State | TX
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Zip | 75075-7807
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Country | US
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Telephone | 972-636-1045
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Fax | 972-674-2930
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Provider Business Mailing Address
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Address Line | 7547 YAMINI DR
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City | DALLAS
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State | TX
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Zip | 75230-3259
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Country | US
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Telephone | 212-750-4833
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Fax | 212-750-4833
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 220760-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M6003
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License Number State | TX
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