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General NPI Number Information
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NPI Number | 1144646381
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Entity Type | Organization
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Legal Business Name | METHODIST HOSPTIALS OF DALLAS
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 401 W CAMPBELL RD
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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 | 214-498-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W CAMPBELL RD
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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 | 214-498-4000
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Fax |
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Authorized Official
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Title or Position | SVP CHIEF FINANCIAL OFFICER
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Name | MR. MICHAEL J SCHAEFER
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Credential |
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Telephone | 214-947-4522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | 100131
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License Number State | TX
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