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General NPI Number Information
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NPI Number | 1891903118
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Entity Type | Individual
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Provider Name | JASBIR S AHLUWALIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 207 BROAD ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-2219
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Country | US
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Telephone | 940-500-4903
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Fax | 940-500-4906
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Provider Business Mailing Address
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Address Line | PO BOX 1297
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City | STEPHENVILLE
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State | TX
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Zip | 76401-0012
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Country | US
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Telephone | 214-808-2007
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | F3018
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License Number State | TX
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