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General NPI Number Information
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NPI Number | 1437387362
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS PHYSICIAN ASSOCIATES, PLLC
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 333 N SHILOH RD STE 102
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City | GARLAND
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State | TX
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Zip | 75042-6613
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Country | US
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Telephone | 972-487-8880
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Fax | 866-288-3708
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Provider Business Mailing Address
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Address Line | 333 N SHILOH RD STE 102
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City | GARLAND
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State | TX
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Zip | 75042-6613
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Country | US
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Telephone | 972-487-8880
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Fax | 866-288-3708
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Authorized Official
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Title or Position | BUS MANAGER
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Name | MR. JEFF BICKART
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Credential |
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Telephone | 281-938-4434
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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 | TX
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