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General NPI Number Information
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NPI Number | 1124783493
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Entity Type | Organization
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Legal Business Name | GREGORY POWELL, MD PA
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 4461 COIT RD STE 411
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City | FRISCO
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State | TX
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Zip | 75035-0526
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Country | US
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Telephone | 972-244-3490
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Fax | 972-244-3940
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Provider Business Mailing Address
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Address Line | 5701 MAPLE AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75235-6596
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Country | US
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Telephone | 214-351-6600
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Fax | 214-351-6453
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MELANIE SCHILMOELLER
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Credential | MHA
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Telephone | 214-389-6663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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