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General NPI Number Information
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NPI Number | 1447247952
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Entity Type | Individual
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Provider Name | LAWRENCE RICHARD POLINER MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 7777 FOREST LN SUITE C-600
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-566-8477
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Fax | 469-484-6197
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Provider Business Mailing Address
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Address Line | 7777 FOREST LN SUITE C-600
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-566-8477
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Fax | 469-484-6197
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | E5206
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | E5206
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | E5206
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License Number State | TX
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