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General NPI Number Information
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NPI Number | 1013963172
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Entity Type | Individual
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Provider Name | PRESLEY M. MOCK MD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 8440 WALNUT HILL LN STE 500
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-1491
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Fax | 214-345-5708
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Provider Business Mailing Address
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Address Line | 8440 WALNUT HILL LN SUITE 500
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City | DALLAS
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State | TX
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Zip | 75231-3833
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Country | US
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Telephone | 214-345-1494
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Fax | 214-345-1452
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | H2615
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License Number State | TX
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