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General NPI Number Information
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NPI Number | 1053319798
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Entity Type | Organization
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Legal Business Name | BAYLOR SPECIALTY HEALTH CENTERS
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 3301 SWISS AVE
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City | DALLAS
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State | TX
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Zip | 75204-6224
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Country | US
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Telephone | 214-820-9743
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Fax | 214-820-1490
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Provider Business Mailing Address
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Address Line | PO BOX 847137
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City | DALLAS
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State | TX
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Zip | 75284-7137
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Country | US
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Telephone | 214-820-6710
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Fax | 214-820-7950
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Authorized Official
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Title or Position | VP, GOVERNMENTAL FINANCE
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Name | MS. WILLIAM J GALINSKY
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Credential |
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Telephone | 254-215-9063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 000710
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 283XC2000X
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Taxonomy Name | Children's Rehabilitation Hospital
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License Number | 000710
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 000710
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License Number State | TX
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