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General NPI Number Information
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NPI Number | 1255697041
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Entity Type | Individual
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Provider Name | DONALD RAYMOND GARRETT JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 12/15/2016
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Provider Practice Location Address
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Address Line | 2831 E PRESIDENT GEORGE BUSH HWY
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City | RICHARDSON
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State | TX
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Zip | 75082-3561
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Country | US
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Telephone | 469-204-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 5246 BRITTANY DR
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City | BATON ROUGE
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State | LA
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Zip | 70808-9136
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Country | US
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Telephone | 225-757-4140
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q3187
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License Number State | TX
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