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General NPI Number Information
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NPI Number | 1356614002
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Entity Type | Organization
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Legal Business Name | ANDREW SEGAL, MD, PA
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 801 ROAD TO SIX FLAGS W 123
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City | ARLINGTON
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State | TX
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Zip | 76012-2616
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Country | US
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Telephone | 817-261-7300
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Fax | 817-861-2004
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Provider Business Mailing Address
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Address Line | 801 ROAD TO SIX FLAGS W 123
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City | ARLINGTON
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State | TX
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Zip | 76012-2616
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Country | US
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Telephone | 817-261-7300
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Fax | 817-861-2004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW SEGAL
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Credential | MD
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Telephone | 817-261-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G7000
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License Number State | TX
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