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General NPI Number Information
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NPI Number | 1568702637
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Entity Type | Organization
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Legal Business Name | PAUL FLAVILL MD
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Dates
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Enumeration Date | 02/26/2013
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 1441 REDBUD BLVD 231
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City | MCKINNEY
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State | TX
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Zip | 75069-3234
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Country | US
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Telephone | 972-542-6250
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Fax | 972-542-2875
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Provider Business Mailing Address
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Address Line | 1441 REDBUD BLVD 231
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City | MCKINNEY
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State | TX
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Zip | 75069-3234
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Country | US
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Telephone | 972-542-6250
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Fax | 972-542-2875
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL FLAVILL
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Credential | M.D.
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Telephone | 972-542-6250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12237
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | J3471
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License Number State | TX
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