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General NPI Number Information
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NPI Number | 1356903595
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Entity Type | Organization
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Legal Business Name | DALLAS RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2008 E HEBRON PKWY STE 110
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City | CARROLLTON
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State | TX
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Zip | 75007-1601
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Country | US
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Telephone | 972-626-3280
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Fax | 972-692-7194
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Provider Business Mailing Address
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Address Line | 2008 E HEBRON PKWY STE 100
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City | CARROLLTON
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State | TX
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Zip | 75007-1601
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Country | US
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Telephone | 972-626-3280
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Fax | 972-692-7194
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Authorized Official
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Title or Position | OWNER
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Name | ANITA MATHEW
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Credential |
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Telephone | 318-780-1639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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