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General NPI Number Information
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NPI Number | 1174563043
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Entity Type | Individual
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Provider Name | JERRY BLAKE BOLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD. BLDG. D, STE. 405
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-287-8800
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Fax | 469-287-8801
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Provider Business Mailing Address
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Address Line | 3550 PARKWOOD BLVD. BLDG. D. STE. 405
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-287-8800
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Fax | 469-287-8801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K8014
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License Number State | TX
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