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General NPI Number Information
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NPI Number | 1265733547
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Entity Type | Organization
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Legal Business Name | LOCAL DOCTOR HOUSECALL
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 703 MCKINNEY AVE SUITE 421
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City | DALLAS
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State | TX
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Zip | 75202-1007
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Country | US
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Telephone | 214-740-9700
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Fax | 877-740-9701
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Provider Business Mailing Address
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Address Line | 703 MCKINNEY AVE SUITE 421
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City | DALLAS
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State | TX
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Zip | 75202-1007
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Country | US
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Telephone | 214-740-9700
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Fax | 877-740-9701
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HECTOR OSCAR MOLINA
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Credential | MEDICAL DOCTOR
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Telephone | 214-740-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | K2755
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License Number State | TX
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