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General NPI Number Information
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NPI Number | 1174795207
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Entity Type | Organization
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Legal Business Name | AFFINITY HOSPITAL DALLAS
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 2696 W WALNUT ST
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City | GARLAND
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State | TX
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Zip | 75042-6441
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Country | US
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Telephone | 972-487-2426
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Fax | 972-487-2595
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Provider Business Mailing Address
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Address Line | 2692 W WALNUT ST STE 201
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City | GARLAND
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State | TX
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Zip | 75042-6474
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Country | US
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Telephone | 469-656-3420
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Fax | 214-291-5928
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Authorized Official
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Title or Position | CEO
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Name | MS. BEVERLY JULIA LEVINE
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Credential |
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Telephone | 214-642-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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