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General NPI Number Information
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NPI Number | 1144370685
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Entity Type | Organization
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Legal Business Name | G. STEPHON PAYSEUR M,D.P.A.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | 5959 HARRY HINES BLVD 312
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City | DALLAS
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State | TX
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Zip | 75235-6234
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Country | US
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Telephone | 214-688-0515
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Fax | 214-688-0030
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Provider Business Mailing Address
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Address Line | 5959 HARRY HINES BLVD 312
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City | DALLAS
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State | TX
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Zip | 75235-6234
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Country | US
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Telephone | 214-688-0515
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Fax | 214-688-0030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARNETT STEPHON PAYSEUR
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Credential | M.D.
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Telephone | 214-688-0515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E5202
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License Number State | TX
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