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General NPI Number Information
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NPI Number | 1194060012
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS EYE & FACIAL SPECIALISTS PLLC
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 3308 PRESTON RD STE 350-131
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City | PLANO
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State | TX
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Zip | 75093-7453
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Country | US
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Telephone | 972-596-8000
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Fax | 972-596-4414
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Provider Business Mailing Address
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Address Line | 3308 PRESTON RD STE 350-131
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City | PLANO
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State | TX
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Zip | 75093-7453
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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 | PRESIDENT/ OWNER
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Name | DR. GEORGE JOSEPH
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Credential | MD
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Telephone | 214-392-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K6030
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License Number State | TX
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