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General NPI Number Information
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NPI Number | 1770175218
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Entity Type | Organization
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Legal Business Name | PA-C 1ST ASSIST SERVICES PLLC
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 5330 MCCOMMAS BLVD
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City | DALLAS
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State | TX
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Zip | 75206-5624
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Country | US
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Telephone | 972-814-6341
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Fax |
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Provider Business Mailing Address
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Address Line | 5330 MCCOMMAS BLVD
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City | DALLAS
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State | TX
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Zip | 75206-5624
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Country | US
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Telephone | 972-814-6341
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PAMELA ANN AHMED
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Credential | PA-C
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Telephone | 972-814-6341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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