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General NPI Number Information
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NPI Number | 1134296890
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PULMONARY ASSOC. OF N. TEXAS
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 8501 WADE BLVD BLDG X SUITE 1020
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City | FRISCO
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State | TX
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Zip | 75034-5894
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Country | US
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Telephone | 972-566-5864
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Fax | 972-566-5825
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Provider Business Mailing Address
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Address Line | 8501 WADE BLVD BLDG X SUITE 1020
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City | FRISCO
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State | TX
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Zip | 75034-5894
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Country | US
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Telephone | 972-668-5864
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Fax | 972-668-5825
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD B. SILVER
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Credential |
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Telephone | 972-668-5864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number |
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License Number State |
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