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General NPI Number Information
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NPI Number | 1346898541
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Entity Type | Organization
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Legal Business Name | CONCORD PSYCHIATRY PLLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 7000 US 287 HWY
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City | ARLINGTON
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State | TX
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Zip | 76001-2805
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Country | US
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Telephone | 817-662-6341
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Fax | 972-549-3122
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Provider Business Mailing Address
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Address Line | 7000 US 287 HWY
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City | ARLINGTON
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State | TX
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Zip | 76001-2805
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Country | US
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Telephone | 817-662-6341
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Fax | 972-549-3122
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Authorized Official
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Title or Position | OWNER
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Name | RONNIE POLLARD
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Credential | MD
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Telephone | 817-662-6341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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