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General NPI Number Information
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NPI Number | 1326373291
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Entity Type | Organization
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Legal Business Name | DOGWOOD HOUSECALLS PA
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 3912 DREXEL DR
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City | DENTON
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State | TX
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Zip | 76210-7705
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Country | US
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Telephone | 940-395-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 3912 DREXEL DR
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City | DENTON
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State | TX
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Zip | 76210-7705
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Country | US
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Telephone | 940-395-9545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE SLOCUM
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Credential | D.O.
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Telephone | 972-345-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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