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General NPI Number Information
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NPI Number | 1992280002
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Entity Type | Organization
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Legal Business Name | AMITY PALLIATIVE CARE, PA
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 1600 COIT RD STE 209
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City | PLANO
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State | TX
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Zip | 75075-6172
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Country | US
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Telephone | 469-759-7999
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Fax | 469-758-2272
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Provider Business Mailing Address
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Address Line | 1600 COIT RD STE 2009
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City | PLANO
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State | TX
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Zip | 75075-6174
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Country | US
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Telephone | 469-759-7999
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Fax | 469-758-2272
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Authorized Official
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Title or Position | OWNER
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Name | MIRZA SHAHBAZ HASAN
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Credential | MD
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Telephone | 972-989-5469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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