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General NPI Number Information
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NPI Number | 1124672811
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Entity Type | Organization
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Legal Business Name | STEPHEN TWYMAN MD PLLC
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 5700 TENNYSON PKWY STE 300
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City | PLANO
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State | TX
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Zip | 75024-3595
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Country | US
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Telephone | 682-990-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 810A FENET ST
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City | MCKINNEY
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State | TX
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Zip | 75069-2420
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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 | MANAGER
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Name | STEPHEN L TWYMAN
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Credential | MD, MPH
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Telephone | 918-853-9407
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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