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NPI 1568776391

NPI 1568776391 : DR. JOHN MATHEWS : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1568776391
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    Entity Type          |    Individual 
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    Provider Name        |    DR. JOHN MATHEWS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/04/2010
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    7777 FOREST LN STE D220 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75230-2571
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    Country              |    US
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    Telephone            |    972-566-7790
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    Fax                  |    972-566-5819
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Provider Business Mailing Address
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    Address Line         |    PO BOX 911230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75391-1230
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    Country              |    US
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    Telephone            |    972-997-8000
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    Fax                  |    972-234-2987
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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        |    207RX0202X
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    Taxonomy Name        |    Medical Oncology Physician
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    License Number       |    Q1216
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    BP1-0031780
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    License Number State |    TX
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