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General NPI Number Information
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NPI Number | 1922578194
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Entity Type | Organization
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Legal Business Name | REZA ASSADOLLAH, DCNP, PLLC
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 12870 HILLCREST RD
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City | DALLAS
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State | TX
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Zip | 75230-1531
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Country | US
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Telephone | 972-991-1153
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Fax |
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Provider Business Mailing Address
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Address Line | 6380 LBJ FWY # 290
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City | DALLAS
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State | TX
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Zip | 75240-6416
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Country | US
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Telephone | 972-991-1153
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE MARCHESE
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Credential |
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Telephone | 214-205-4995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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