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NPI 1457368276

NPI 1457368276 : PAUL FLAVILL M.D. : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1457368276
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL FLAVILL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/02/2006
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    Last Update Date     |    02/19/2013
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Provider Practice Location Address
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    Address Line         |    1441 N REDBUD BLVD #231
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75069-3224
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    Country              |    US
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    Telephone            |    972-542-6250
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    Fax                  |    972-542-2875
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Provider Business Mailing Address
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    Address Line         |    1441 N REDBUD BLVD #231
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75069-3224
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    Country              |    US
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    Telephone            |    972-542-6250
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    Fax                  |    972-542-2875
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    J3471
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    License Number State |    TX
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