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General NPI Number Information
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NPI Number | 1295499184
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Entity Type | Organization
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Legal Business Name | DORROUGH MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 1411 N BECKLEY AVE STE 356
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City | DALLAS
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State | TX
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Zip | 75203-1591
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Country | US
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Telephone | 469-290-6400
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Fax | 469-290-6405
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Provider Business Mailing Address
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Address Line | 1411 N BECKLEY AVE STE 356
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City | DALLAS
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State | TX
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Zip | 75203-1591
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Country | US
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Telephone | 469-290-6400
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Fax | 469-290-6405
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MOLLIE RICE-DORROUGH
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Credential | MD
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Telephone | 469-290-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 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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