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General NPI Number Information
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NPI Number | 1033551312
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Entity Type | Organization
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Legal Business Name | DALLAS MEDICAL PHYSICIAN GROUP
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Dates
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Enumeration Date | 07/26/2013
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 7 MEDICAL PKWY
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City | DALLAS
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State | TX
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Zip | 75234-7829
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Country | US
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Telephone | 972-488-9656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 661247
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City | DALLAS
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State | TX
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Zip | 75266-1247
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Country | US
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Telephone | 214-320-7770
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Fax | 214-320-7654
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Authorized Official
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Title or Position | BILLING OPERATIONS MANAGER
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Name | MELISSA SPARKS
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Credential |
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Telephone | 214-660-2518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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