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General NPI Number Information
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NPI Number | 1033425160
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS REGENERATIVE MEDICINE CENTER
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 7548 PRESTON RD # 141-171
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City | FRISCO
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State | TX
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Zip | 75034-5683
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Country | US
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Telephone | 214-614-8272
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Fax | 214-975-1084
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Provider Business Mailing Address
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Address Line | 7548 PRESTON RD # 141-171
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City | FRISCO
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State | TX
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Zip | 75034-5683
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Country | US
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Telephone | 214-614-8272
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Fax | 214-975-1084
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN C FERRELL
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Credential | M.D.
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Telephone | 214-614-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G8835
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License Number State | TX
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