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General NPI Number Information
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NPI Number | 1164957700
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Entity Type | Organization
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Legal Business Name | UROLOGY CLINICS OF NORTH TEXAS PLLC
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 9900 N CENTRAL EXPY STE 120
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City | DALLAS
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State | TX
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Zip | 75231-0962
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Country | US
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Telephone | 214-580-2265
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 N CENTRAL EXPY STE 120
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City | DALLAS
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State | TX
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Zip | 75231-0962
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Country | US
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Telephone | 214-580-2265
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | SHANNEN RODRIGUEZ
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Credential |
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Telephone | 214-692-8262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31363
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License Number State | TX
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