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General NPI Number Information
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NPI Number | 1053325993
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Entity Type | Organization
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Legal Business Name | PAA,L.L.P
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 907 MEDICAL CENTRE DR B
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City | ARLINGTON
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State | TX
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Zip | 76012-4798
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Country | US
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Telephone | 817-469-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 907 MEDICAL CENTRE DR B
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City | ARLINGTON
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State | TX
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Zip | 76012-4798
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Country | US
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Telephone | 817-469-9443
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATTY E. CRIMMINGS
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Credential |
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Telephone | 817-469-9443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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