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NPI 1801243100

NPI 1801243100 : TREASUED DIAMONDS : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1801243100
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    Entity Type          |    Organization 
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    Legal Business Name  |    TREASUED DIAMONDS 
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Dates
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    Enumeration Date     |    05/17/2016
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    Last Update Date     |    05/17/2016
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Provider Practice Location Address
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    Address Line         |    3272 TARRANT LN 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75025-5293
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    Country              |    US
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    Telephone            |    469-347-2347
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3272 TARRANT LN 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75025-5293
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |    MR. TAYO  ARUWAJOYE 
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    Credential           |    
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    Telephone            |    469-347-2347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    GFP 8467
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    License Number State |    TX
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