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General NPI Number Information
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NPI Number | 1467785311
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Entity Type | Organization
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Legal Business Name | NEUROBEMD, P.A.
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 1400 W NORTHWEST HWY SUITE 200D
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City | GRAPEVINE
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State | TX
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Zip | 76051-8116
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Country | US
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Telephone | 817-288-1310
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Fax | 817-288-1499
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Provider Business Mailing Address
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Address Line | 9900 N CENTRAL EXPY SUITE 500
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City | DALLAS
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State | TX
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Zip | 75231-4395
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Country | US
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Telephone | 214-692-1900
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Fax | 214-692-1911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA A LOWRIMORE
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Credential | M.D.
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Telephone | 214-692-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L5030
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License Number State | TX
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