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General NPI Number Information
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NPI Number | 1003134024
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Entity Type | Organization
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Legal Business Name | DIAGNOSTEX CONSULTANTS PLLC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 500 GRAPEVINE HWY STE. 106
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City | HURST
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State | TX
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Zip | 76054-2707
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Country | US
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Telephone | 817-514-6271
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Fax | 817-514-6278
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Provider Business Mailing Address
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Address Line | 500 GRAPEVINE HWY STE. 106
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City | HURST
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State | TX
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Zip | 76054-2707
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Country | US
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Telephone | 817-514-6271
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Fax | 817-514-6278
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Authorized Official
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Title or Position | CEO
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Name | DR. JOAN ELIZABETH BAUMER
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Credential | M.D.
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Telephone | 817-514-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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