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General NPI Number Information
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NPI Number | 1023723970
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Entity Type | Organization
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Legal Business Name | DFW FTBC 1 LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 9665 N CENTRAL EXPY STE 120
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City | DALLAS
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State | TX
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Zip | 75231-5073
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Country | US
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Telephone | 214-989-4148
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Fax | 945-468-2882
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Provider Business Mailing Address
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Address Line | 3237 FORESTBROOK DR
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City | RICHARDSON
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State | TX
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Zip | 75082-2691
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Country | US
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Telephone | 214-989-4148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUYNH NGUYEN
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Credential |
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Telephone | 214-989-4148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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