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General NPI Number Information
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NPI Number | 1063420271
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Entity Type | Organization
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Legal Business Name | ALLIANCE OB GYN SPECIALISTS PLLC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 323 N BONNIE BRAE ST
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City | DENTON
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State | TX
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Zip | 76201-3727
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Country | US
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Telephone | 940-484-7100
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Fax | 940-484-7101
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Provider Business Mailing Address
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Address Line | 323 N BONNIE BRAE ST
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City | DENTON
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State | TX
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Zip | 76201-3727
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Country | US
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Telephone | 940-484-7100
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Fax | 940-484-7101
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARC A WILSON
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Credential | MD
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Telephone | 940-484-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | L0704
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License Number State | TX
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