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General NPI Number Information
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NPI Number | 1902382641
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Entity Type | Organization
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Legal Business Name | VISITING DOCTORS, PLLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 600 E TAYLOR ST STE 3011
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City | SHERMAN
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State | TX
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Zip | 75090-2850
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Country | US
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Telephone | 903-957-0417
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Fax | 903-957-0242
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Provider Business Mailing Address
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Address Line | 600 E TAYLOR ST STE 3011
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City | SHERMAN
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State | TX
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Zip | 75090-2850
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Country | US
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Telephone | 903-957-0417
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Fax | 903-957-0242
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUMBUL ISLAM
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Credential | MD
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Telephone | 214-383-6630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R4240
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License Number State | TX
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