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General NPI Number Information
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NPI Number | 1295938686
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Entity Type | Organization
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Legal Business Name | MINOR EMERGENCY OF PARIS, INC.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 4400 TEASLEY LANE SUITE 200
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City | DENTON
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State | TX
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Zip | 76210-3403
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Country | US
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Telephone | 940-382-9898
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Fax | 940-383-3815
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Provider Business Mailing Address
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Address Line | 4400 TEASLEY LANE SUITE 200
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City | DENTON
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State | TX
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Zip | 76210-3403
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Country | US
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Telephone | 940-382-9898
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Fax | 940-383-3815
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW BLANKENAU
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Credential | MD
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Telephone | 940-382-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | J3744
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License Number State | TX
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