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General NPI Number Information
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NPI Number | 1255122875
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Entity Type | Organization
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Legal Business Name | CARROLL AVE PHYSICIANS GROUP PLLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1015 N CARROLL AVE STE 2000
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City | DALLAS
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State | TX
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Zip | 75204-6607
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Country | US
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Telephone | 214-824-7744
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Fax | 214-824-7755
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Provider Business Mailing Address
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Address Line | 1015 N CARROLL AVE STE 2000
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City | DALLAS
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State | TX
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Zip | 75204-6607
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Country | US
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Telephone | 214-824-7744
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Fax | 214-824-7755
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MCCARTY
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Credential | ARRT R.T (R)
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Telephone | 214-504-3487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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