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General NPI Number Information
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NPI Number | 1093774317
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Entity Type | Organization
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Legal Business Name | UNITED CLINICS OF NORTH TEXAS, PLLC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 1010 N MILL ST
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City | BOWIE
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State | TX
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Zip | 76230-3120
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Country | US
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Telephone | 940-872-1121
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Fax | 940-872-3007
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Provider Business Mailing Address
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Address Line | 1010 N MILL STREET
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City | BOWIE
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State | TX
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Zip | 76230
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Country | US
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Telephone | 940-872-1121
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Fax | 940-872-3007
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Authorized Official
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Title or Position | INSURANCE CLERK
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Name | DENISE HANCOCK
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Credential |
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Telephone | 940-872-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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