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General NPI Number Information
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NPI Number | 1104286442
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Entity Type | Organization
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Legal Business Name | BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 5236 W UNIVERSITY DR STE 1500
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City | MCKINNEY
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State | TX
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Zip | 75071-7889
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Country | US
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Telephone | 469-764-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 847051
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City | DALLAS
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State | TX
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Zip | 75284-7051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIMOTHY BOWEN
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Credential |
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Telephone | 870-223-1301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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