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General NPI Number Information
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NPI Number | 1821045675
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Entity Type | Organization
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Legal Business Name | COLORECTAL ASSOCIATES OF TEXAS PA
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 1705 OHIO DR STE 100
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City | PLANO
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State | TX
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Zip | 75093-5256
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Country | US
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Telephone | 972-612-0430
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Fax | 844-585-6193
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Provider Business Mailing Address
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Address Line | 1705 OHIO DR STE 100
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City | PLANO
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State | TX
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Zip | 75093-5256
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Country | US
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Telephone | 972-612-0430
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Fax | 844-585-6193
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAID HASHEMIPOUR
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Credential | MD
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Telephone | 972-612-0430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | H2490
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 448077
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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