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General NPI Number Information
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NPI Number | 1639269517
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Entity Type | Organization
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Legal Business Name | DALLAS ARTHRITIS CENTER,PA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 221 W COLORADO BLVD PAV I
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-941-0198
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Fax | 214-941-2380
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Provider Business Mailing Address
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Address Line | 221 W. COLORADO BLVD PAV II STE #740
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City | DALLAS
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State | TX
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Zip | 75208-2363
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Country | US
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Telephone | 214-941-0198
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Fax | 214-941-2380
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARCIA GENTA
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Credential |
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Telephone | 214-947-7306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | J4146
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License Number State | TX
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