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General NPI Number Information
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NPI Number | 1972358836
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Entity Type | Individual
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Provider Name | WAJEEHA RASUL
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Gender | Female
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 5160 VILLAGE CREEK DR STE 2002
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City | PLANO
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State | TX
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Zip | 75093-4498
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Country | US
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Telephone | 682-324-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 SEABROOK DR
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City | PLANO
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State | TX
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Zip | 75023-2927
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Country | US
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Telephone | 214-546-4867
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB1117695
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License Number State | TX
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