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General NPI Number Information
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NPI Number | 1144277542
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Entity Type | Organization
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Legal Business Name | RICHARDSON PHYSICIAN ALLIANCE
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 401 W CAMPBELL RD ATTN: SHIRLEY BUTLER
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City | RICHARDSON
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State | TX
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Zip | 75080-3416
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Country | US
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Telephone | 972-498-4700
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Fax | 972-498-4883
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Provider Business Mailing Address
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Address Line | 401 W CAMPBELL RD ATTN: SHIRLEY BUTLER
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City | RICHARDSON
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State | TX
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Zip | 75080-3416
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Country | US
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Telephone | 972-498-4700
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Fax | 972-498-4883
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Authorized Official
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Title or Position | VP CFO
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Name | ROBERT M SIMPSON
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Credential |
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Telephone | 972-498-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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