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General NPI Number Information
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NPI Number | 1356691489
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Entity Type | Organization
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Legal Business Name | DALLAS EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 11042 WALLBROOK DR.
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City | DALLAS
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State | TX
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Zip | 75238
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Country | US
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Telephone | 469-877-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 11042 WALLBROOK DR.
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City | DALLAS
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State | TX
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Zip | 75238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. CARRIE BETH SCHIRATO
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Credential | FNP
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Telephone | 469-877-0336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 726120
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License Number State | TX
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