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General NPI Number Information
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NPI Number | 1447507371
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Entity Type | Organization
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Legal Business Name | DIAMOND PRIVATE PHYSICIANS, PLLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 2201 WOLF ST APT 5201
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City | DALLAS
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State | TX
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Zip | 75201-1137
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Country | US
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Telephone | 214-395-3491
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 WOLF ST APT 5201
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City | DALLAS
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State | TX
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Zip | 75201-1137
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Country | US
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Telephone | 214-395-3491
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. JAMES PINCKNEY II
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Credential | M.D.
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Telephone | 214-395-3491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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