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General NPI Number Information
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NPI Number | 1174929350
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Entity Type | Organization
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Legal Business Name | UDC ERL THORNTON FWY, PLLC
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 8238 E R L THORNTON FWY SUITE C&D
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City | DALLAS
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State | TX
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Zip | 75228-7185
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Country | US
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Telephone | 214-320-8400
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Fax | 214-320-8407
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Provider Business Mailing Address
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Address Line | 8238 E R L THORNTON FWY SUITE C&D
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City | DALLAS
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State | TX
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Zip | 75228-7185
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Country | US
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Telephone | 214-320-8400
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Fax | 214-320-8407
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CORAY L PREECE
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Credential | DDS
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Telephone | 214-320-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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