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General NPI Number Information
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NPI Number | 1619913290
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS ORTHOPEDICS
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 711 W BROAD
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City | FORNEY
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State | TX
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Zip | 75126
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Country | US
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Telephone | 972-564-4900
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Fax | 972-564-4911
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Provider Business Mailing Address
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Address Line | PO BOX 793897
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City | DALLAS
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State | TX
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Zip | 75379
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Country | US
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Telephone | 972-564-4900
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AMBER CREECH
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Credential |
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Telephone | 972-564-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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