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General NPI Number Information
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NPI Number | 1467890954
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Entity Type | Organization
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Legal Business Name | JAMES E. RACE MD PA
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 2909 S HAMPTON RD STE E220
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City | DALLAS
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State | TX
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Zip | 75224-3000
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Country | US
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Telephone | 214-467-3832
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Fax | 214-467-3380
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Provider Business Mailing Address
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Address Line | 2909 S HAMPTON RD STE D107
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City | DALLAS
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State | TX
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Zip | 75224-3000
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Country | US
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Telephone | 214-467-3832
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Fax | 214-467-3380
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JAMES E RACE
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Credential | MD
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Telephone | 214-467-3832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | TX
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