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General NPI Number Information
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NPI Number | 1538924709
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Entity Type | Organization
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Legal Business Name | BOB L. PANSICK, MD, FAAO, PA
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR STE 180
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City | DALLAS
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State | TX
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Zip | 75251-2123
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Country | US
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Telephone | 214-320-8785
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Fax | 214-320-8983
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Provider Business Mailing Address
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Address Line | 12200 PARK CENTRAL DR STE 180
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City | DALLAS
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State | TX
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Zip | 75251-2123
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Country | US
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Telephone | 214-320-8785
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Fax | 214-320-8983
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Authorized Official
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Title or Position | PHYSICIAN/SURGEON
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Name | DR. ANDREW D PANSICK
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Credential | MD
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Telephone | 214-320-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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