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General NPI Number Information
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NPI Number | 1265755193
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Entity Type | Organization
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Legal Business Name | DENNIS H. GOLDSBERRY, M.D., PLLC
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Dates
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Enumeration Date | 03/06/2010
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Last Update Date | 07/07/2018
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Provider Practice Location Address
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Address Line | 5225 INDEPENDENCE PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-215-7500
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Fax | 972-432-5164
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Provider Business Mailing Address
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Address Line | 5225 INDEPENDENCE PKWY STE 100
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City | FRISCO
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State | TX
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Zip | 75035-4648
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Country | US
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Telephone | 972-215-7500
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Fax | 972-432-5164
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Authorized Official
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Title or Position | CEO
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Name | DR. DENNIS H GOLDSBERRY
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Credential | M.D.
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Telephone | 972-215-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M4099
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License Number State | TX
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