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General NPI Number Information
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NPI Number | 1336336957
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Entity Type | Individual
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Provider Name | MICHELLE FARRAR SPRINGFIELD MICHELLE SPRINGFIELD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 6150 INDEPENDENCE PKWY SUITE K
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City | PLANO
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State | TX
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Zip | 75023-4000
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Country | US
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Telephone | 214-395-6472
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Fax | 972-618-4234
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Provider Business Mailing Address
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Address Line | 3300 OCALA CT
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City | PLANO
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State | TX
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Zip | 75025-3647
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Country | US
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Telephone | 214-395-6472
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Fax | 972-618-4234
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MT045736
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License Number State | TX
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