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General NPI Number Information
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NPI Number | 1497010987
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Entity Type | Organization
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Legal Business Name | KEVIN E CONNER M D P A
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 800 W ARBROOK BLVD SUITE 100
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City | ARLINGTON
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State | TX
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Zip | 76015-4327
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Country | US
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Telephone | 817-417-6141
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Fax | 817-417-6261
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Provider Business Mailing Address
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Address Line | 800 W ARBROOK BLVD SUITE 100
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City | ARLINGTON
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State | TX
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Zip | 76015-4327
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Country | US
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Telephone | 817-417-6141
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Fax | 817-417-6261
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN CONNER
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Credential | MD
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Telephone | 817-417-6141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H7715
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License Number State | TX
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