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General NPI Number Information
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NPI Number | 1538151170
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Entity Type | Individual
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Provider Name | BRIAN EADES M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 7300 ELDORADO PKWY STE 150
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City | MCKINNEY
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State | TX
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Zip | 75070-1861
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Country | US
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Telephone | 972-630-4441
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Fax | 214-548-4642
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Provider Business Mailing Address
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Address Line | 7300 ELDORADO PKWY STE 150
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City | MCKINNEY
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State | TX
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Zip | 75070-1861
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Country | US
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Telephone | 972-630-4441
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Fax | 214-548-4642
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L3630
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | L3630
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L3630
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License Number State | TX
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