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General NPI Number Information
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NPI Number | 1174934525
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Entity Type | Organization
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Legal Business Name | BETH V. ANGLIN, M.D., PA
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 3801 W. 15TH STREET
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-877-8567
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 ASHINGTON LANE
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City | PLANO
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State | TX
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Zip | 75023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETH V. ANGLIN
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Credential | M.D.
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Telephone | 972-369-6649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J6786
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License Number State | TX
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