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General NPI Number Information
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NPI Number | 1558407908
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Entity Type | Organization
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Legal Business Name | DALLAS PHYSICIAN MEDICAL SERVICES FOR CHILDREN INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-7000
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Fax |
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Authorized Official
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Title or Position | SVP PHYSICIAN ORGANIZATION
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Name | ADAM MELTON
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Credential |
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Telephone | 214-456-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology 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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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