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General NPI Number Information
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NPI Number | 1487194502
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Entity Type | Organization
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Legal Business Name | ARAGON MEDICAL CLINIC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 9203 SKILLMAN ST SUITE 126
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City | DALLAS
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State | TX
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Zip | 75243-9032
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Country | US
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Telephone | 817-907-6714
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Fax |
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Provider Business Mailing Address
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Address Line | 2529 E LANCASTER AVE SUITE A
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City | FORT WORTH
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State | TX
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Zip | 76103-2253
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Country | US
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Telephone | 817-907-6714
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. PATRICIA L. ROBERTS, HARRIS
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Credential | D. O.
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Telephone | 817-907-6714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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