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General NPI Number Information
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NPI Number | 1245452762
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Entity Type | Organization
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Legal Business Name | PAUL M GARMON JR DO PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2201 FOREST LN SUITE 2
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City | GARLAND
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State | TX
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Zip | 75042-7982
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Country | US
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Telephone | 972-272-1581
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Fax | 972-487-7075
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Provider Business Mailing Address
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Address Line | 2201 FOREST LN SUITE 2
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City | GARLAND
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State | TX
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Zip | 75042-7982
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Country | US
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Telephone | 972-272-1581
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Fax | 972-487-7075
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PAUL MARTIN GARMON JR.
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Credential | D.O.
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Telephone | 972-272-1581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F3983
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License Number State | TX
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