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General NPI Number Information
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NPI Number | 1457403347
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Entity Type | Organization
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Legal Business Name | ACCUCARE CLINIC OF NORTH TEXAS, P.A.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 3901 ARMORY RD MEDICAL OFFICE
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2204
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Country | US
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Telephone | 940-720-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 ARMORY RD MEDICAL OFFICE
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2204
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Country | US
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Telephone | 940-720-5755
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. ANGELITA BAUTISTA FRANDO
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Credential | M.D.
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Telephone | 940-720-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | K3729
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K4889
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License Number State | TX
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