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General NPI Number Information
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NPI Number | 1760826713
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Entity Type | Organization
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Legal Business Name | PROASSIT
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 2150 S CENTRAL EXPY # 75070
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City | MCKINNEY
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State | TX
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Zip | 75070-4070
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Country | US
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Telephone | 972-363-8200
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Fax | 972-363-8196
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Provider Business Mailing Address
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Address Line | 2150 S CENTRAL EXPY # 75070
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City | MCKINNEY
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State | TX
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Zip | 75070-4070
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Country | US
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Telephone | 972-363-8200
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Fax | 972-363-8196
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Authorized Official
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Title or Position | SURGICAL ASSISTANT
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Name | MAUSAMI SHRESTHA
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Credential |
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Telephone | 214-226-9168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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