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General NPI Number Information
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NPI Number | 1952271884
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTHCARE PROVIDERS LLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2451 W GRAPEVINE MILLS CIR # 507
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City | GRAPEVINE
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State | TX
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Zip | 76051-2096
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Country | US
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Telephone | 682-477-3585
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Fax | 682-477-3675
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Provider Business Mailing Address
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Address Line | 2825 ROUNDUP TRL
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City | GRAPEVINE
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State | TX
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Zip | 76051-4745
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Country | US
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Telephone | 682-477-3585
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Fax | 682-477-3675
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MOHAMMED GULAM RASUL KHAN
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Credential |
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Telephone | 469-386-5586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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