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General NPI Number Information
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NPI Number | 1295721066
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Entity Type | Organization
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Legal Business Name | LUBBOCK DERMATOLOGY AND SKIN CANCER CENTER
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 3601 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1309
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Country | US
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Telephone | 806-796-7193
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Fax | 806-796-0034
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Provider Business Mailing Address
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Address Line | 3601 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1309
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Country | US
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Telephone | 806-796-7193
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Fax | 806-796-0034
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Authorized Official
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Title or Position | PARTNER
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Name | RICHARD HOWARD HOPE
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Credential | MD
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Telephone | 806-796-7193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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