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General NPI Number Information
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NPI Number | 1215657580
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Entity Type | Organization
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Legal Business Name | RALSTON TECHNOLOGIES PLLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 3523 LINCOLN DR
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City | FRISCO
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State | TX
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Zip | 75034-6365
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Country | US
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Telephone | 972-896-1843
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Fax | 214-919-2560
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Provider Business Mailing Address
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Address Line | 14983 BOAZ LN
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City | LINDALE
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State | TX
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Zip | 75771-4801
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Country | US
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Telephone | 972-896-1843
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Fax | 214-919-2560
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Authorized Official
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Title or Position | ADMIN ASSISTANT
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Name | MARY SEMICH
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Credential |
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Telephone | 903-530-6827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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