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General NPI Number Information
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NPI Number | 1548550601
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Entity Type | Individual
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Provider Name | DRAGON DO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 940 KELLER PKWY STE 250
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City | KELLER
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State | TX
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Zip | 76248-3657
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Country | US
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Telephone | 682-593-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 350 E VISTA RIDGE MALL DR APT 635
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City | LEWISVILLE
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State | TX
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Zip | 75067-4082
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Country | US
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Telephone | 501-410-2433
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R6174
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License Number State | TX
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