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General NPI Number Information
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NPI Number | 1790318731
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Entity Type | Individual
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Provider Name | NAZLEEN ABDULRAHIM
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 2355 E GRAPEVINE MILLS CIR
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City | GRAPEVINE
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State | TX
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Zip | 76051-2047
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Country | US
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Telephone | 318-344-1690
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Fax | 888-637-5197
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Provider Business Mailing Address
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Address Line | 327 REVOLUTION LN
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City | EULESS
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State | TX
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Zip | 76040-4685
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Country | US
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Telephone |
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Fax | 888-637-5197
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP143435
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License Number State | TX
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