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General NPI Number Information
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NPI Number | 1114187101
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Entity Type | Organization
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Legal Business Name | JOHN S WEBB, MD PA
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 5939 HARRY HINES BLVD #903
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City | DALLAS
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State | TX
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Zip | 75235-6246
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Country | US
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Telephone | 214-879-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 5939 HARRY HINES BLVD #903
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City | DALLAS
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State | TX
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Zip | 75235-6246
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Country | US
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Telephone | 214-879-6969
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Fax |
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Authorized Official
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Title or Position | BILLING MGR
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Name | STACEY L SIFERT
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Credential |
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Telephone | 214-343-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E4756
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License Number State | TX
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