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General NPI Number Information
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NPI Number | 1477534014
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Entity Type | Individual
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Provider Name | MICHAEL HOWARD LANGFUS PHYSICIAN ASSISTANT
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Gender | Male
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 825 N MCDONALD ST STE 130
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City | MCKINNEY
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State | TX
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Zip | 75069-2146
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Country | US
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Telephone | 972-548-5508
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Fax | 972-547-1823
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Provider Business Mailing Address
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Address Line | 11033 COUNTY ROAD 574 BLUE RIDGE
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City | BLUE RIDGE
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State | TX
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Zip | 75424-6123
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Country | US
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Telephone | 214-491-9666
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01338
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License Number State | TX
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