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General NPI Number Information
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NPI Number | 1588746002
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HEALTH SYSTEM OF TEXAS
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR STE E1000
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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 | 214-456-2879
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Fax | 214-456-2698
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Provider Business Mailing Address
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Address Line | 1935 MEDICAL DISTRICT DR # E1000
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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 | 214-456-2879
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ROBERT S FRIES
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Credential |
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Telephone | 214-456-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 19569
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License Number State | TX
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