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General NPI Number Information
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NPI Number | 1154065266
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Entity Type | Organization
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Legal Business Name | EDGAR MCELROY III DDS
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 3094 LAURA LN STE 100
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City | MCKINNEY
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State | TX
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Zip | 75070-4569
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Country | US
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Telephone | 214-551-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 LISBURN DR
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City | MCKINNEY
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State | TX
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Zip | 75071-3351
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Country | US
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Telephone | 214-551-8861
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDGAR MCELROY III
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Credential | DDS
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Telephone | 214-551-8861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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