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General NPI Number Information
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NPI Number | 1801100979
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Entity Type | Individual
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Provider Name | OWAIS M. IDRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 13192 DALLAS PKWY STE 610
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City | FRISCO
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State | TX
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Zip | 75033-4248
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Country | US
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Telephone | 469-213-5969
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Fax | 833-362-1209
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Provider Business Mailing Address
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Address Line | 13192 DALLAS PKWY STE 610
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City | FRISCO
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State | TX
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Zip | 75033-4248
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Country | US
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Telephone | 469-213-5969
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Fax | 833-362-1209
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35121408
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35121408
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | T2398
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | T2398
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License Number State | TX
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