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General NPI Number Information
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NPI Number | 1861459927
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Entity Type | Individual
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Provider Name | IMRAN AFRIDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 916 E HIGHWAY 67
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City | DUNCANVILLE
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State | TX
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Zip | 75137-2706
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Country | US
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Telephone | 214-942-5511
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Fax | 214-942-5512
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Provider Business Mailing Address
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Address Line | PO BOX 797007
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City | DALLAS
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State | TX
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Zip | 75379-7007
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Country | US
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Telephone | 214-942-5511
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Fax | 214-942-5512
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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 | J-2474
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License Number State | TX
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