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NPI 1215256235

NPI 1215256235 : HELEN D GIPSON DPM PC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1215256235
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    Entity Type          |    Organization 
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    Legal Business Name  |    HELEN D GIPSON DPM PC 
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Dates
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    Enumeration Date     |    06/01/2010
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    Last Update Date     |    01/13/2022
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Provider Practice Location Address
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    Address Line         |    7220 S WESTMORELAND RD APT 108A 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75237-2984
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    Country              |    US
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    Telephone            |    214-331-3700
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    Fax                  |    214-331-3737
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Provider Business Mailing Address
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    Address Line         |    5787 S HAMPTON RD STE 350 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75232-6333
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    Country              |    US
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    Telephone            |    214-331-3700
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    Fax                  |    214-331-3737
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. HELEN  GIPSON 
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    Credential           |    DPM
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    Telephone            |    214-331-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    964
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    License Number State |    TX
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