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General NPI Number Information
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NPI Number | 1932672870
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Entity Type | Individual
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Provider Name | MUNA ABU AWAD
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 1719 ANALOG DR
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City | RICHARDSON
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State | TX
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Zip | 75081-1944
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Country | US
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Telephone | 469-629-6819
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Fax |
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Provider Business Mailing Address
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Address Line | 210 SANTA FE TRL APT 2033
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City | IRVING
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State | TX
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Zip | 75063-7157
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Country | US
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Telephone | 214-714-5291
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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