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General NPI Number Information
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NPI Number | 1023560133
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Entity Type | Organization
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Legal Business Name | LUCY PARK EMERGENCY PHYSICIANS PLLC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 5420 KELL BLVD
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City | WICHITA FALLS
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State | TX
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Zip | 76310-1610
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Country | US
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Telephone | 940-692-5888
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Fax | 877-250-6889
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 954-838-2371
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | CAROLINA RODRIGUEZ
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Credential |
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Telephone | 305-939-8451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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