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General NPI Number Information
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NPI Number | 1063920627
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Entity Type | Organization
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Legal Business Name | PARKHILL PEDIATRIC SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 7150 GREENVILLE AVE
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City | DALLAS
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State | TX
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Zip | 75231-7900
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Country | US
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Telephone | 972-850-7675
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 GREENVILLE AVE STE 400
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City | DALLAS
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State | TX
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Zip | 75231-5186
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Country | US
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Telephone | 728-509-7675
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRENT MILLS
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Credential |
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Telephone | 601-297-0931
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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 |
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License Number State |
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