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General NPI Number Information
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NPI Number | 1134301351
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Entity Type | Organization
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Legal Business Name | DFW ARTHRITIS ASSOCIATES, PA
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 1120 W CAMPBELL RD SUITE 111
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City | RICHARDSON
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State | TX
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Zip | 75080-2976
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Country | US
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Telephone | 972-669-0912
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Fax | 972-669-1313
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Provider Business Mailing Address
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Address Line | 1120 W CAMPBELL RD SUITE 111
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City | RICHARDSON
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State | TX
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Zip | 75080-2976
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Country | US
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Telephone | 972-669-0912
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Fax | 972-669-1313
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FANG WANG
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Credential | D.O.
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Telephone | 214-663-4029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | L9540
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License Number State | TX
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