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General NPI Number Information
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NPI Number | 1720584691
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Entity Type | Organization
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Legal Business Name | DALLAS CARDIOLOGY PLLC
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Dates
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Enumeration Date | 04/01/2018
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 560 W MAIN ST STE 205
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City | LEWISVILLE
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State | TX
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Zip | 75057-3604
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Country | US
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Telephone | 972-972-4252
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Fax | 972-972-4253
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Provider Business Mailing Address
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Address Line | 391 E. LAS COLINAS BLVD. STE. 130 #335
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City | IRVING
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State | TX
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Zip | 75039-6225
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Country | US
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Telephone | 972-972-4252
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Fax | 877-277-3002
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. MOIZ SHAFIQ
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Credential | MD
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Telephone | 214-924-4073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M4527
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License Number State | TX
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