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General NPI Number Information
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NPI Number | 1902585524
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Entity Type | Organization
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Legal Business Name | MD FOR SENIORS, PLLC
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 5440 HARVEST HILL RD STE 182B
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City | DALLAS
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State | TX
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Zip | 75230-1607
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Country | US
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Telephone | 214-348-7611
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Fax | 214-348-0129
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Provider Business Mailing Address
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Address Line | 5440 HARVEST HILL RD STE 182B
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City | DALLAS
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State | TX
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Zip | 75230-1607
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Country | US
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Telephone | 214-458-8845
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Fax | 214-348-0129
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. KOJO A POBEE
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Credential | MD
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Telephone | 972-983-5466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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