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General NPI Number Information
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NPI Number | 1376636167
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS NEUROSURGICAL ASSOCIATES
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 1778 N PLANO RD STE 112
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City | RICHARDSON
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State | TX
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Zip | 75081-1968
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Country | US
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Telephone | 214-239-1961
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Fax | 214-561-1641
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Provider Business Mailing Address
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Address Line | PO BOX 835390
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City | RICHARDSON
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State | TX
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Zip | 75083-5390
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Country | US
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Telephone | 214-239-1961
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Fax | 214-561-1641
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Authorized Official
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Title or Position | PARTNER
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Name | DR. BRENT C. MORGAN
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Credential | M.D.
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Telephone | 214-239-1961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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