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General NPI Number Information
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NPI Number | 1114802568
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Entity Type | Organization
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Legal Business Name | CONLON PLASTIC SURGERY PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE B434
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City | DALLAS
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State | TX
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Zip | 75230-6828
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Country | US
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Telephone | 281-636-5499
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN STE B434
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City | DALLAS
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State | TX
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Zip | 75230-6828
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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 | OWNER
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Name | CHRISTOPHER CONLON
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Credential | MD
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Telephone | 281-636-5499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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