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General NPI Number Information
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NPI Number | 1417917865
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Entity Type | Individual
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Provider Name | DERWYN M TOUPS MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104-4917
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Country | US
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Telephone | 817-921-3431
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Fax |
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Provider Business Mailing Address
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Address Line | 561 N GRAHAM ST
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City | STEPHENVILLE
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State | TX
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Zip | 76401-3548
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Country | US
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Telephone | 866-428-1720
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Fax | 214-712-2002
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G0212
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License Number State | TX
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