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General NPI Number Information
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NPI Number | 1720242332
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Entity Type | Organization
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Legal Business Name | AVAS MEDICINE
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Dates
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Enumeration Date | 07/12/2008
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Last Update Date | 03/06/2016
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Provider Practice Location Address
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Address Line | 6300 W PARKER RD MOB2 SUITE 222
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City | PLANO
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State | TX
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Zip | 75093-8100
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Country | US
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Telephone | 972-981-7270
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Fax | 972-981-7271
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Provider Business Mailing Address
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Address Line | 3941 LEGACY DR # 204-A223
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City | PLANO
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State | TX
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Zip | 75023-8334
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Country | US
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Telephone | 972-981-7270
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Fax | 972-981-7271
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Authorized Official
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Title or Position | OWNER
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Name | DR. NARCISA ADINA DUSA
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Credential | MD
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Telephone | 972-981-7270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | M0710
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License Number State | TX
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