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General NPI Number Information
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NPI Number | 1750246559
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Entity Type | Individual
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Provider Name | AMEEM ALAM
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Gender | Male
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1409 REGAL DR APT 567
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City | RICHARDSON
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State | TX
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Zip | 75080-6447
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Country | US
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Telephone | 605-201-8420
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Fax |
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Provider Business Mailing Address
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Address Line | 611 N MACARTHUR BLVD STE 110
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City | IRVING
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State | TX
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Zip | 75061-7467
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1106488
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License Number State | TX
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