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General NPI Number Information
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NPI Number | 1235688102
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Entity Type | Organization
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Legal Business Name | C M FIRST ASSISTING, INC.
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 11970 N CENTRAL EXPY SUITE 500
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City | DALLAS
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State | TX
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Zip | 75243-3768
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Country | US
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Telephone | 214-577-2615
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 195182
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City | DALLAS
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State | TX
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Zip | 75219-8603
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Country | US
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Telephone | 214-577-2615
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINE MARIE DUNCAN
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Credential | CRNFA
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Telephone | 214-577-2615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 616479
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License Number State | TX
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