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General NPI Number Information
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NPI Number | 1720217995
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Entity Type | Individual
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Provider Name | NADA ELMAGBOUL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | BAYLOR SCOTT AND WHITE CLINIC 425 UNIVERSITY BOULEVARD
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City | ROUND ROCK
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State | TX
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Zip | 78665
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Country | US
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Telephone | 512-509-0200
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Fax | 512-509-0285
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-2111
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Fax |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD35133
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | S4627
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD447077
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 49785
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License Number State | TN
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