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General NPI Number Information
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NPI Number | 1154540664
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Entity Type | Organization
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Legal Business Name | NEUROLOGY SPECIALISTS OF DALLAS, PA
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 8330 MEADOW RD SUITE 204
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City | DALLAS
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State | TX
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Zip | 75231-3767
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Country | US
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Telephone | 214-379-1100
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Fax | 214-379-1101
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Provider Business Mailing Address
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Address Line | 8330 MEADOW RD SUITE 204
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City | DALLAS
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State | TX
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Zip | 75231-3767
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Country | US
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Telephone | 214-379-1100
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Fax | 214-379-1101
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MAUREEN WOOTEN WATTS
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Credential | MD
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Telephone | 214-379-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H7852
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License Number State | TX
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