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General NPI Number Information
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NPI Number | 1780919332
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Entity Type | Organization
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Legal Business Name | EAST DALLAS NEUROLOGICAL SERVICES
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 2540 NORTH GALLOWAY AVENUE 105
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City | MESQUITE
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State | TX
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Zip | 75150-4897
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Country | US
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Telephone | 972-677-7157
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Fax | 972-677-7029
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Provider Business Mailing Address
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Address Line | 2540 NORTH GALLOWAY AVENUE 105
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City | MESQUITE
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State | TX
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Zip | 75150-4897
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Country | US
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Telephone | 972-677-7157
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Fax | 972-677-7029
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Authorized Official
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Title or Position | DR.
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Name | AMIR M TORABI
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Credential | MD
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Telephone | 972-677-7157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | N3354
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License Number State | TX
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