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General NPI Number Information
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NPI Number | 1215967583
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Entity Type | Organization
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Legal Business Name | DALLAS OBSTETRICS & GYNECOLOGY PA
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 3310 LIVE OAK ST SUITE 400
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City | DALLAS
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State | TX
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Zip | 75204-6153
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Country | US
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Telephone | 972-613-5379
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Fax | 972-613-1989
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Provider Business Mailing Address
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Address Line | 3310 LIVE OAK ST SUITE 400
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City | DALLAS
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State | TX
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Zip | 75204-6153
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Country | US
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Telephone | 972-613-5379
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Fax | 972-613-1989
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Authorized Official
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Title or Position | BILLING/INSURANCE SUPERVISOR
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Name | MRS. MARGARET KANNADY
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Credential |
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Telephone | 972-613-5379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G8117
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License Number State | TX
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