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General NPI Number Information
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NPI Number | 1891788022
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Entity Type | Individual
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Provider Name | JEFFREY H LANDAU M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPY N SUITE 350
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-747-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 W ELDORADO PKWY SUITE 102 PMB 901
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City | MCKINNEY
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State | TX
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Zip | 75070-6309
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Country | US
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Telephone | 972-747-4200
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Fax | 972-747-4222
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 77084
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G50587
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | K4934
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License Number State | TX
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