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General NPI Number Information
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NPI Number | 1235513052
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Entity Type | Organization
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Legal Business Name | PHYSICIANS PATIENT CARE SERVICES PLLC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 1119 W RANDOL MILL RD
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City | ARLINGTON
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State | TX
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Zip | 76012-6509
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Country | US
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Telephone | 817-881-5026
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 W RANDOL MILL RD
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City | ARLINGTON
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State | TX
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Zip | 76012-6509
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Country | US
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Telephone | 817-881-5026
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TODD NGUYEN
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Credential | M.D.
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Telephone | 817-881-5026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | N9850
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M0513
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License Number State | TX
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