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General NPI Number Information
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NPI Number | 1447477468
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Entity Type | Organization
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Legal Business Name | TEAM HEALTHCARE/DIAGNOSTIC CORPORATION
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 3312 WHIFFLETREE
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City | PLANO
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State | TX
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Zip | 75086-4062
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Country | US
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Telephone | 817-417-5242
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Fax | 817-468-0661
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Provider Business Mailing Address
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Address Line | 3312 WHIFFLETREE
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City | PLANO
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State | TX
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Zip | 75086-4062
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Country | US
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Telephone | 817-417-5242
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Fax | 817-468-0661
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Authorized Official
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Title or Position | VP OF ADMINISTRATION
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Name | MRS. SANDRA JOYCE HILTON
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Credential |
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Telephone | 817-417-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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