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General NPI Number Information
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NPI Number | 1366912735
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MEDICAL SOLUTIONS PLLC
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 3025 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2902
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Country | US
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Telephone | 833-696-2329
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Fax | 469-802-1544
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Provider Business Mailing Address
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Address Line | 3025 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2902
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Country | US
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Telephone | 469-854-9493
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Fax | 469-854-9493
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Authorized Official
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Title or Position | DIRECTOR
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Name | TIMOTHY MCAULIFF
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Credential | MD
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Telephone | 469-931-0684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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