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General NPI Number Information
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NPI Number | 1871918938
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Entity Type | Organization
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Legal Business Name | RIZWAN H BUKHARI MD PA
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 3220 GUS THOMASSON RD STE 231
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City | MESQUITE
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State | TX
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Zip | 75150
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Country | US
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Telephone | 972-885-8346
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Fax | 214-466-1976
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Provider Business Mailing Address
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Address Line | 3220 GUS THOMASSON RD STE 231
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City | MESQUITE
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State | TX
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Zip | 75150-4051
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Country | US
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Telephone | 972-885-8346
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Fax | 214-466-1976
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Authorized Official
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Title or Position | OWNER
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Name | RIZWAN H BUKHARI
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Credential | MD
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Telephone | 972-885-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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