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General NPI Number Information
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NPI Number | 1821706037
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Entity Type | Individual
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Provider Name | DANIEL FESHATSION GHIRMAY
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Gender | Male
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 5949 SHERRY LN STE 1150
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City | DALLAS
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State | TX
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Zip | 75225-8066
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Country | US
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Telephone | 469-226-4287
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Fax |
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Provider Business Mailing Address
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Address Line | 5949 SHERRY LN STE 1150
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City | DALLAS
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State | TX
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Zip | 75225-8066
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Country | US
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Telephone | 469-226-4287
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16514
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License Number State | TX
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