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General NPI Number Information
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NPI Number | 1962896258
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Entity Type | Individual
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Provider Name | AHMAD AZHAR
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Gender | Male
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 925 BLANCO LN
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City | MCKINNEY
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State | TX
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Zip | 75071-8659
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Country | US
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Telephone | 518-445-5192
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Fax |
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Provider Business Mailing Address
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Address Line | 925 BLANCO LN
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City | MCKINNEY
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State | TX
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Zip | 75071-8659
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Country | US
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Telephone | 518-445-5192
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 008436
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 121530
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License Number State | TX
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