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General NPI Number Information
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NPI Number | 1841449535
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Entity Type | Organization
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Legal Business Name | MOHROKH HEDAYATI, M.D., P.A
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 890 ROCKWALL PKWY STE 100
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City | ROCKWALL
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State | TX
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Zip | 75032-6871
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Country | US
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Telephone | 214-306-4456
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Fax | 214-306-4457
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Provider Business Mailing Address
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Address Line | 890 ROCKWALL PKWY STE 100
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City | ROCKWALL
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State | TX
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Zip | 75032-6871
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Country | US
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Telephone | 214-306-4456
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Fax | 214-306-4457
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | ABBY F HENISEY
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Credential |
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Telephone | 214-306-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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