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General NPI Number Information
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NPI Number | 1477783330
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Entity Type | Organization
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Legal Business Name | NORTH DALLAS PLASTIC SURGERY ASSOCIATES
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 07/24/2009
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPWY N SUITE 2310
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City | ALLEN
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State | TX
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Zip | 75013-6115
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Country | US
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Telephone | 214-363-2575
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Fax | 214-363-3665
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Provider Business Mailing Address
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Address Line | 8305 WALNUT HILL LN SUITE 210
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City | DALLAS
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State | TX
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Zip | 75231-4217
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Country | US
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Telephone | 214-509-0270
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Fax | 214-363-3665
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TODD A POLLOCK
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Credential | M.D.
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Telephone | 214-509-0270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J0205
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License Number State | TX
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