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General NPI Number Information
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NPI Number | 1528270915
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Entity Type | Individual
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Provider Name | GENOVEVE MATCHETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 10317 CRESTOVER DR
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City | DALLAS
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State | TX
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Zip | 75229-6117
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Country | US
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Telephone | 650-810-6112
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Fax |
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Provider Business Mailing Address
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Address Line | 14850 QUORUM DR STE 400
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City | DALLAS
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State | TX
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Zip | 75254-1445
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Country | US
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Telephone | 469-437-3564
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Fax | 469-825-6903
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | N8037
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License Number State | TX
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