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General NPI Number Information
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NPI Number | 1306202635
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Entity Type | Organization
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Legal Business Name | TEXAS PARKINSON AND MOVEMENT DISORDERS
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 8220 WALNUT HILL LN STE 516
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City | DALLAS
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State | TX
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Zip | 75231-4433
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Country | US
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Telephone | 469-994-1817
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Fax | 469-444-6054
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Provider Business Mailing Address
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Address Line | 8220 WALNUT HILL LN STE 516
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City | DALLAS
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State | TX
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Zip | 75231-4433
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Country | US
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Telephone | 469-994-1817
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Fax | 214-593-3092
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. AANCHAL TANEJA
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Credential | MD
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Telephone | 469-994-1817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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