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General NPI Number Information
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NPI Number | 1003821679
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Entity Type | Organization
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Legal Business Name | ALLIED GROUP MD PA
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7203 JOHN W CARPENTER FWY
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City | DALLAS
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State | TX
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Zip | 75247-5113
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Country | US
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Telephone | 214-637-3737
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Fax | 214-637-7014
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Provider Business Mailing Address
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Address Line | 7203 JOHN W CARPENTER FWY
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City | DALLAS
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State | TX
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Zip | 75247-5113
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Country | US
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Telephone | 214-637-3737
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Fax | 214-637-7014
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Authorized Official
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Title or Position | PRESIDENT/TREATING DOCTOR
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Name | MICHAEL MANTAS
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Credential | M.D.
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Telephone | 214-637-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9876
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8197
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8046
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7015
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9851
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9551
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | E5382
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | H3034
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2592
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License Number State | TX
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