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General NPI Number Information
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NPI Number | 1588938187
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Entity Type | Organization
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Legal Business Name | DFW PRACTICE CONSULTANTS, INC.
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 2705 HOSPITAL BLVD SUITE 100
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-0928
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Country | US
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Telephone | 817-224-2292
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Fax | 866-279-9993
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Provider Business Mailing Address
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Address Line | 777 MAIN ST SUITE 640
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City | FORT WORTH
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State | TX
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Zip | 76102-5304
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Country | US
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Telephone | 817-224-2292
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Fax | 866-279-9993
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD ALEXANDER JR.
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Credential | M.D.
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Telephone | 817-224-2292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N6605
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License Number State | TX
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