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General NPI Number Information
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NPI Number | 1104037068
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Entity Type | Organization
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Legal Business Name | GARLAND PHYSICAL MEDICINE CENTER
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 2301 FOREST LN STE 100
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City | GARLAND
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State | TX
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Zip | 75042-7925
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Country | US
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Telephone | 972-276-2225
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Fax | 972-276-2292
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Provider Business Mailing Address
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Address Line | 2301 FOREST LN STE 100
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City | GARLAND
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State | TX
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Zip | 75042-7925
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Country | US
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Telephone | 972-276-2225
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Fax | 972-276-2292
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Authorized Official
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Title or Position | OFFICE DIRECTOR
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Name | DANIEL MUNIER
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Credential | D.C.
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Telephone | 972-276-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | H7354
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License Number State | TX
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