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General NPI Number Information
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NPI Number | 1639843790
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 7350 UNIVERSITY HILLS BLVD STE 26
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City | DALLAS
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State | TX
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Zip | 75241-4605
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Country | US
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Telephone | 972-338-1793
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Fax | 972-338-1302
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Provider Business Mailing Address
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Address Line | 855 MONTGOMERY ST
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City | FORT WORTH
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State | TX
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Zip | 76107-2553
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Country | US
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Telephone | 844-331-4113
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Fax | 877-331-4118
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | LESLIE MCGEE HENDERSON
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Credential |
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Telephone | 817-735-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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