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General NPI Number Information
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NPI Number | 1629516117
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Entity Type | Organization
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Legal Business Name | ARAUJO CLINIC PA
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 4461 COIT RD #411
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City | FRISCO
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State | TX
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Zip | 75035-0521
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Country | US
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Telephone | 972-219-8400
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Fax | 972-219-5331
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Provider Business Mailing Address
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Address Line | 4461 COIT RD #411
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City | FRISCO
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State | TX
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Zip | 75035-0521
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Country | US
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Telephone | 972-219-8400
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Fax | 972-219-5331
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | MARCO ARAUJO
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Credential | M.D.
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Telephone | 920-360-9934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | Q2426
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License Number State | TX
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