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General NPI Number Information
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NPI Number | 1982870416
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Entity Type | Individual
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Provider Name | ALI AKBAR BAHRANI MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 931 STATE HIGHWAY 121 BUILDING 3, STE 3100
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City | ALLEN
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State | TX
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Zip | 75013
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Country | US
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Telephone | 972-777-2966
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Fax | 972-694-4476
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Provider Business Mailing Address
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Address Line | 1213 WINDMERE WAY
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City | ALLEN
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State | TX
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Zip | 75013-5617
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Country | US
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Telephone | 972-770-1032
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M8515
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License Number State | TX
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