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General NPI Number Information
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NPI Number | 1487117925
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Entity Type | Organization
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Legal Business Name | MANSFIELD PHYSICIAN STAFFING, PLLC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 1710 HIGHWAY 287 N STE 300
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City | MANSFIELD
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State | TX
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Zip | 76063-7631
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Country | US
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Telephone | 972-294-9666
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 HIGHWAY 287 N STE 300
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City | MANSFIELD
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State | TX
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Zip | 76063-7631
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Country | US
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Telephone | 972-294-9666
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LORI GUERRERO
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Credential |
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Telephone | 972-294-9666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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