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General NPI Number Information
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NPI Number | 1013693746
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Entity Type | Organization
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Legal Business Name | SYMETRIA HEALTH OF TEXAS, L.L.C.
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 7229 HAWKINS VIEW DR
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City | FORT WORTH
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State | TX
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Zip | 76132-3921
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Country | US
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Telephone | 682-350-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 E DIEHL RD STE 550
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City | NAPERVILLE
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State | IL
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Zip | 60563-8206
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Country | US
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Telephone | 331-333-4100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PAYER RELATIONS
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Name | GARRY SCHECHNER
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Credential |
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Telephone | 407-721-1235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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