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General NPI Number Information
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NPI Number | 1790083939
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Entity Type | Organization
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Legal Business Name | NORTH DALLAS PHYSICIANS GROUP,PLLC
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Dates
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Enumeration Date | 03/12/2011
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Last Update Date | 03/12/2011
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Provider Practice Location Address
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Address Line | 906 W MCDERMOTT DR SUITE 116-175
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City | ALLEN
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State | TX
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Zip | 75013-6510
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Country | US
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Telephone | 918-812-4755
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Fax |
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Provider Business Mailing Address
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Address Line | 906 W MCDERMOTT DR SUITE 116-175
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City | ALLEN
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State | TX
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Zip | 75013-6510
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Country | US
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Telephone | 918-812-4755
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANE NAHAR
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Credential | MD
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Telephone | 918-812-4755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N3925
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License Number State | TX
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