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General NPI Number Information
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NPI Number | 1205886207
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Entity Type | Individual
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Provider Name | IRA M EPSTEIN DO
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 6331 BOULEVARD 26 STE 220
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1590
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Country | US
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Telephone | 817-628-0284
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Fax | 817-628-0288
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Provider Business Mailing Address
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Address Line | 1600 WATERS RIDGE DR STE A
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City | LEWISVILLE
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State | TX
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Zip | 75057-6039
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Country | US
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Telephone | 940-320-1708
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Fax | 940-565-5457
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | K6844
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License Number State | TX
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