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General NPI Number Information
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NPI Number | 1992110886
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Entity Type | Organization
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Legal Business Name | PREMIER PSYCHIATRIC & SLEEP MEDICINE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 3608 PRESTON ROAD SUTIE 146
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 469-600-3635
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Fax | 469-600-8101
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Provider Business Mailing Address
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Address Line | 2705 GOLDEN MEADOW CT
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City | MCKINNEY
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State | TX
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Zip | 75069-7440
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Country | US
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Telephone | 469-600-3635
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Fax | 469-600-8101
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Authorized Official
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Title or Position | MD
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Name | MR. JAWAD RIAZ
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Credential | M.D.,
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Telephone | 972-985-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry
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License Number | PL6710
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License Number State | TX
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