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General NPI Number Information
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NPI Number | 1356823967
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Entity Type | Organization
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Legal Business Name | DMT ENDOCRINOLOGY PA
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 501 RITA LN STE 113
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City | ARLINGTON
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State | TX
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Zip | 76014-2010
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Country | US
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Telephone | 817-468-9200
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Fax | 817-468-9358
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Provider Business Mailing Address
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Address Line | 501 RITA LN STE 113
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City | ARLINGTON
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State | TX
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Zip | 76014-2010
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Country | US
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Telephone | 817-468-9200
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Fax | 817-468-9358
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Authorized Official
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Title or Position | MANAGER
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Name | SKYLAR DELMAS
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Credential |
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Telephone | 817-468-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State | TX
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