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General NPI Number Information
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NPI Number | 1508196445
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Entity Type | Organization
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Legal Business Name | METROPLEX DERMATOLOGY, PLLC
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Dates
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Enumeration Date | 12/27/2009
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Last Update Date | 12/27/2009
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Provider Practice Location Address
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Address Line | 300 W ARBROOK BLVD SUITE B
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City | ARLINGTON
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State | TX
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Zip | 76014-3105
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Country | US
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Telephone | 817-704-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W ARBROOK BLVD SUITE B
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City | ARLINGTON
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State | TX
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Zip | 76014-3105
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Country | US
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Telephone | 817-704-4777
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. DAVID R HENSLEY
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Credential | M.D.
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Telephone | 817-704-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | K2489
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License Number State | TX
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