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General NPI Number Information
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NPI Number | 1225595770
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Entity Type | Organization
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Legal Business Name | FRISCO BIRTH CENTER
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 7258 ELM ST
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City | FRISCO
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State | TX
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Zip | 75034-5747
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Country | US
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Telephone | 469-643-9433
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Fax | 972-695-8842
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Provider Business Mailing Address
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Address Line | 7258 ELM ST
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City | FRISCO
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State | TX
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Zip | 75034-5747
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Country | US
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Telephone | 469-643-9433
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Fax | 972-695-8842
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Authorized Official
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Title or Position | OWNER
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Name | MARGARET V WALLIS
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Credential | LM, CPM
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Telephone | 469-643-9433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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