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General NPI Number Information
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NPI Number | 1275679987
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Entity Type | Organization
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Legal Business Name | MICHAEL CARROLL MD PA
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9208 ELAM RD STE 220
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City | DALLAS
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State | TX
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Zip | 75217
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Country | US
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Telephone | 214-398-3251
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Fax | 214-398-7251
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Provider Business Mailing Address
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Address Line | 9208 ELAM RD STE 220
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City | DALLAS
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State | TX
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Zip | 75217
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Country | US
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Telephone | 214-398-3251
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Fax | 214-398-7251
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MICHAEL LINDSEY CARROLL
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Credential | MD
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Telephone | 214-398-3251
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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 | F3813
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License Number State | TX
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