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General NPI Number Information
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NPI Number | 1578891198
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Entity Type | Organization
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Legal Business Name | ROBERT E. SLOCUM, D.O.,P.A.
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 4925 GREENVILLE AVE SUITE 1158
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City | DALLAS
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State | TX
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Zip | 75206-4026
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Country | US
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Telephone | 214-691-1224
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Fax | 972-271-1650
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Provider Business Mailing Address
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Address Line | 3314 RANCH DR
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City | GARLAND
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State | TX
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Zip | 75041-4449
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Country | US
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Telephone | 214-691-1224
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Fax | 972-271-1650
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT E SLOCUM
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Credential | D.O.
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Telephone | 214-691-1224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | C8852
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License Number State | TX
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