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General NPI Number Information
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NPI Number | 1184913832
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Entity Type | Organization
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Legal Business Name | ARTHRITIS TREATMENT OF TEXAS, PLLC
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 8611 HILLCREST AVE STE 200
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City | DALLAS
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State | TX
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Zip | 75225-4207
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Country | US
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Telephone | 214-812-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 8611 HILLCREST AVE STE 200
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City | DALLAS
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State | TX
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Zip | 75225-4207
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Country | US
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Telephone | 214-812-9770
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Fax |
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | CYNTHIA D GOODMAN
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Credential | MD
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Telephone | 214-812-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | J1460
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License Number State | TX
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