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General NPI Number Information
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NPI Number | 1598142853
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Entity Type | Organization
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Legal Business Name | HOUSE CALL PHYSICIANS, LLC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 601 OMEGA DR SUITE 205
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City | ARLINGTON
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State | TX
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Zip | 76014-2075
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Country | US
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Telephone | 817-557-6227
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Fax | 817-557-6247
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Provider Business Mailing Address
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Address Line | 601 OMEGA DR SUITE 205
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City | ARLINGTON
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State | TX
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Zip | 76014-2075
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Country | US
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Telephone | 817-557-6227
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Fax | 817-557-6247
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Authorized Official
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Title or Position | OWNER
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Name | DONALD W FERGUSON
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Credential | MD
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Telephone | 817-557-6227
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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 | L6039
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License Number State | TX
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