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General NPI Number Information
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NPI Number | 1124338785
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Entity Type | Organization
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Legal Business Name | MACLIN FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 1521 N COOPER ST STE 213
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City | ARLINGTON
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State | TX
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Zip | 76011-5522
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Country | US
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Telephone | 877-288-7968
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Fax | 754-218-0975
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Provider Business Mailing Address
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Address Line | 6800 MANHATTAN BLVD BLDG 1 STE 101
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City | FORT WORTH
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State | TX
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Zip | 76120-1200
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Country | US
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Telephone | 817-457-7200
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Fax | 817-457-7258
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROWENA MACLIN
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Credential | D.O.
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Telephone | 877-288-7968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L3738
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License Number State | TX
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