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General NPI Number Information
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NPI Number | 1306976733
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Entity Type | Individual
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Provider Name | RATTAPOL SRISINROONGRUANG MD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 800 W RANDOL MILL RD DEPT OF EMERGENCY MEDICINE
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City | ARLINGTON
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State | TX
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Zip | 76012-2504
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Country | US
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Telephone | 817-548-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2670 S AW GRIMES BLVD APT 2405
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City | ROUND ROCK
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State | TX
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Zip | 78664-2845
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Country | US
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Telephone | 214-289-8172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C70003449
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N4124
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License Number State | TX
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