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General NPI Number Information
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NPI Number | 1538483128
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Entity Type | Organization
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Legal Business Name | METROPLEX VISITING PHYSICIANS
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 2501 E HEBRON PKWY SUITE 100
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City | CARROLLTON
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State | TX
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Zip | 75010-4468
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Country | US
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Telephone | 214-549-8974
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 E HEBRON PKWY STE 100
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City | CARROLLTON
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State | TX
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Zip | 75010-4468
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Country | US
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Telephone | 214-549-8974
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RYAN A FRAKES
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Credential |
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Telephone | 214-549-8974
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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 | K3357
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License Number State | TX
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