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General NPI Number Information
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NPI Number | 1932211828
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Entity Type | Individual
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Provider Name | IKRAM KURESHI MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/26/2020
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Provider Practice Location Address
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Address Line | 204 MEDICAL DR STE 260
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City | SHERMAN
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State | TX
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Zip | 75092-6366
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Country | US
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Telephone | 903-416-6400
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Fax | 903-465-6404
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Provider Business Mailing Address
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Address Line | 204 MEDICAL DR STE 260
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City | SHERMAN
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State | TX
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Zip | 75092-6366
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Country | US
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Telephone | 903-416-6400
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Fax | 903-465-6404
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 228763
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M8104
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License Number State | TX
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