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General NPI Number Information
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NPI Number | 1083600951
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Entity Type | Organization
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Legal Business Name | DALLAS NEUROSURGICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 6101 W PLANO PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75093-8201
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Country | US
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Telephone | 214-750-3646
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Fax | 214-368-1610
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Provider Business Mailing Address
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Address Line | 6101 W PLANO PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75093-8201
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Country | US
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Telephone | 214-750-3646
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Fax | 214-368-1610
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON S TAUB
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Credential | M.D.
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Telephone | 214-750-3646
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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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