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General NPI Number Information
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NPI Number | 1013147792
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Entity Type | Organization
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Legal Business Name | ORSEL S. MCGHEE III M.D., P.A.
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 617 W MOORE AVE STE B
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City | TERRELL
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State | TX
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Zip | 75160-3123
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Country | US
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Telephone | 972-563-8100
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Fax | 972-563-2684
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Provider Business Mailing Address
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Address Line | 1151 N BUCKNER BLVD STE 301A
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City | DALLAS
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State | TX
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Zip | 75218-3426
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Country | US
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Telephone | 214-324-2401
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Fax | 214-321-5052
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Authorized Official
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Title or Position | OFFICE MGR
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Name | ROSA LYNN ESPINOSA
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Credential |
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Telephone | 972-563-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | L0864
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License Number State | TX
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