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General NPI Number Information
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NPI Number | 1972982551
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Entity Type | Organization
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Legal Business Name | PARIS CARDIOLOGY CENTER OBL
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 2620 SPUR 139
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City | PARIS
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State | TX
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Zip | 75462
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Country | US
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Telephone | 903-517-5431
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 SPUR 139
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City | PARIS
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State | TX
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Zip | 75462
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Country | US
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Telephone | 903-517-5431
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. AYESHA SHAFIQ
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Credential |
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Telephone | 903-517-5431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 130239
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License Number State | TX
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