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General NPI Number Information
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NPI Number | 1396071379
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Entity Type | Organization
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Legal Business Name | J.M. NAFTALIS M.D., P.A.
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 5959 HARRY HINES BLVD SUITE 500
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City | DALLAS
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State | TX
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Zip | 75235-6234
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Country | US
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Telephone | 214-879-0003
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Fax | 214-879-0016
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Provider Business Mailing Address
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Address Line | 5959 HARRY HINES BLVD SUITE 500
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City | DALLAS
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State | TX
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Zip | 75235-6234
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Country | US
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Telephone | 214-879-0003
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Fax | 214-879-0016
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEROME MELVIN NAFTALIS
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Credential | M.D.
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Telephone | 214-879-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D1162
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License Number State | TX
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