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General NPI Number Information
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NPI Number | 1124568969
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2929 N STEMMONS FWY # XA1.2
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City | DALLAS
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State | TX
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Zip | 75247-6102
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Country | US
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Telephone | 214-645-6828
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Fax | 214-645-6829
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD STOP 7200
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City | DALLAS
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State | TX
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Zip | 75390-9222
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Country | US
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Telephone | 469-525-5908
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Fax | 214-645-6829
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Authorized Official
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Title or Position | CFO
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Name | MARK ALAN MEYER
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Credential |
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Telephone | 214-633-4804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 31219
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License Number State | TX
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