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General NPI Number Information
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NPI Number | 1154566578
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Entity Type | Organization
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Legal Business Name | WOMEN'S SPECIALTY SURGERY CENTER OF DALLAS, LLC
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LANE SUITE #101
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-345-6747
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Fax | 214-345-6748
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Provider Business Mailing Address
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Address Line | 8230 WALNUT HILL LANE SUITE #101
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-345-6747
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Fax | 214-345-6748
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VICKI D. SCHULTZ
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Credential | R.N.
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Telephone | 214-345-6752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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