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General NPI Number Information
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NPI Number | 1710749825
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Entity Type | Organization
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Legal Business Name | SMART TESTING LABS & PHYSICIAN CARE PRACTICE PLLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 12350 MONTWOOD DRIVE SUITE 300
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City | EL PASO
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State | TX
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Zip | 79928-5695
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Country | US
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Telephone | 915-800-1115
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Fax | 915-800-1113
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Provider Business Mailing Address
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Address Line | 12350 MONTWOOD DRIVE SUITE 300
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City | EL PASO
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State | TX
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Zip | 79928-5695
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Country | US
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Telephone | 915-800-1115
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Fax | 915-800-1113
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MUHAMMAD KHAN
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Credential |
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Telephone | 630-703-8527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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